Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.34 / $115.34 / $115.34	Facility		$115.34	$115.34	$115.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $138.09 / $527.00	Professional		$115.34	$138.09	$527.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.05 / $1,156.21 / $2,046.68	Facility		$341.05	$1,156.21	$2,046.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $187.89 / $223.88	Professional		$140.91	$187.89	$223.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $130.59	Professional		$95.33	$130.59	$130.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.16 / $235.21 / $352.81	Professional		$188.16	$235.21	$352.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.31 / $176.78	Facility		$67.31	$67.31	$176.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $267.56	Professional		$95.33	$130.59	$267.56
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $104.27 / $157.07	Professional		$94.68	$104.27	$157.07