Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $103.49 / $103.49	Facility		$103.49	$103.49	$103.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $158.94 / $591.32	Professional		$103.49	$158.94	$591.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.04 / $1,037.33 / $1,836.54	Facility		$306.04	$1,037.33	$1,836.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $168.60 / $200.89	Professional		$126.45	$168.60	$200.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Facility		$149.11	$149.11	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $149.11 / $149.11	Professional		$108.85	$149.11	$149.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $211.06 / $316.58	Professional		$168.84	$211.06	$316.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $60.40 / $158.60	Facility		$60.40	$60.40	$158.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $149.11 / $240.17	Professional		$108.85	$149.11	$240.17
United Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $93.57 / $140.94	Professional		$84.96	$93.57	$140.94