Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $146.41 / $146.41	Facility		$146.41	$146.41	$146.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $224.84 / $836.34	Professional		$146.41	$224.84	$836.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.94 / $1,467.51 / $2,598.09	Facility		$432.94	$1,467.51	$2,598.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $238.51 / $284.19	Professional		$178.88	$238.51	$284.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $175.00 / $175.00	Professional		$127.75	$175.00	$175.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $298.58 / $447.87	Professional		$238.86	$298.58	$447.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $85.45 / $224.37	Facility		$85.45	$85.45	$224.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $175.00 / $339.68	Professional		$127.75	$175.00	$339.68
United Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $300.68 / $353.74	Facility		$300.68	$300.68	$353.74
United Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $132.35 / $199.38	Professional		$120.18	$132.35	$199.38