Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.60 / $528.45 / $528.45	Facility		$213.60	$528.45	$528.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.32 / $328.03 / $1,675.80	Professional		$232.32	$328.03	$1,675.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $631.63 / $2,141.10 / $3,790.46	Facility		$631.63	$2,141.10	$3,790.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $347.98 / $414.62	Professional		$260.99	$347.98	$414.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $293.31	Facility		$293.31	$293.31	$293.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $682.91	Professional		$214.12	$214.12	$682.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $348.48 / $435.61 / $653.41	Professional		$348.48	$435.61	$653.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $140.30 / $327.36	Facility		$140.30	$140.30	$327.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $293.31 / $535.38	Professional		$214.12	$293.31	$535.38
United Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $493.69 / $580.80	Facility		$493.69	$493.69	$580.80
United Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $217.32 / $327.36	Professional		$197.33	$217.32	$327.36