Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.10 / $156.10 / $156.10	Facility		$156.10	$156.10	$156.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $169.87 / $697.00	Professional		$18.00	$169.87	$697.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.59 / $1,564.66 / $2,770.04	Facility		$461.59	$1,564.66	$2,770.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $254.30 / $303.00	Professional		$190.73	$254.30	$303.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $176.75	Facility		$176.75	$176.75	$176.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $176.75	Professional		$129.03	$176.75	$176.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.67 / $318.33 / $477.51	Professional		$254.67	$318.33	$477.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $91.10 / $239.22	Facility		$91.10	$91.10	$239.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $362.15	Professional		$129.03	$176.75	$362.15
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $141.11 / $212.57	Professional		$128.13	$141.11	$212.57