Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.73 / $279.73 / $279.73	Facility		$279.73	$279.73	$279.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.73 / $348.13 / $2,143.35	Professional		$279.73	$348.13	$2,143.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,211.69 / $3,892.12 / $7,271.41	Facility		$1,211.69	$3,892.12	$7,271.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.78 / $455.71 / $542.98	Professional		$341.78	$455.71	$542.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $372.88	Facility		$372.88	$372.88	$372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $372.88 / $372.88	Professional		$272.20	$372.88	$372.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $668.52 / $835.65 / $1,253.47	Professional		$668.52	$835.65	$1,253.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $179.44 / $428.70	Facility		$179.44	$179.44	$428.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $372.88 / $668.52	Professional		$272.20	$372.88	$668.52
United Facility/Professional Professional Modifier Low / Median / High Price $256.99 / $277.95 / $418.70	Professional		$256.99	$277.95	$418.70