Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $95.92 / $95.92	Facility		$95.92	$95.92	$95.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $147.30 / $547.98	Professional		$95.92	$147.30	$547.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.62 / $961.47 / $1,702.01	Facility		$283.62	$961.47	$1,702.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $156.25 / $186.18	Professional		$117.19	$156.25	$186.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $239.30	Professional		$94.64	$94.64	$239.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $195.60 / $293.39	Professional		$156.47	$195.60	$293.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $55.99 / $147.01	Facility		$55.99	$55.99	$147.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $129.63 / $227.92	Professional		$94.64	$129.63	$227.92
United Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $86.72 / $130.63	Professional		$80.18	$86.72	$130.63