Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $94.17 / $94.17	Facility		$94.17	$94.17	$94.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $144.62 / $434.00	Professional		$74.56	$144.62	$434.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.90 / $1,310.23 / $2,447.82	Facility		$407.90	$1,310.23	$2,447.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $153.41 / $182.79	Professional		$115.06	$153.41	$182.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $120.81 / $120.81	Facility		$120.81	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $120.81	Professional		$88.19	$120.81	$120.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.04 / $281.31 / $421.96	Professional		$225.04	$281.31	$421.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $124.98 / $124.98	Facility		$120.81	$124.98	$124.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $120.81 / $218.47	Professional		$88.19	$120.81	$218.47
United Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $85.13 / $133.57	Professional		$80.14	$85.13	$133.57