Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.24 / $174.24 / $174.24	Facility		$174.24	$174.24	$174.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $174.24 / $1,025.25	Professional		$160.06	$174.24	$1,025.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.75 / $2,424.37 / $4,529.30	Facility		$754.75	$2,424.37	$4,529.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $283.85 / $338.22	Professional		$212.89	$283.85	$338.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $175.81	Facility		$175.81	$175.81	$175.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $175.81	Professional		$128.34	$175.81	$175.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.41 / $520.52 / $780.78	Professional		$416.41	$520.52	$780.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $85.84 / $267.05	Facility		$85.84	$85.84	$267.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $364.75	Professional		$128.34	$175.81	$364.75
United Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $132.96 / $200.28	Professional		$120.72	$132.96	$200.28