Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $208.93	Professional		$102.33	$125.89	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $2,511.89	Facility		$691.83	$1,513.56	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $512.86	Professional		$154.88	$154.88	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $275.42 / $416.87	Professional		$60.26	$275.42	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $426.58	Facility		$109.65	$199.53	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $165.96	Facility		$112.20	$141.25	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $263.03	Professional		$131.83	$141.25	$263.03