Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $469.34 / $469.34	Facility		$117.84	$469.34	$469.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $133.44 / $673.15	Professional		$117.84	$133.44	$673.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.45 / $1,181.14 / $2,091.06	Facility		$348.45	$1,181.14	$2,091.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $191.97 / $228.73	Professional		$143.97	$191.97	$228.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $152.55	Facility		$152.55	$152.55	$152.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $152.55	Professional		$111.36	$152.55	$152.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $240.31 / $360.46	Professional		$192.24	$240.31	$360.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.78 / $68.78 / $180.59	Facility		$68.78	$68.78	$180.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $273.39	Professional		$111.36	$152.55	$273.39
United Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $106.53 / $160.47	Professional		$96.73	$106.53	$160.47