Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.91 / $337.91 / $337.91	Facility		$337.91	$337.91	$337.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.89 / $461.27 / $1,715.74	Professional		$326.89	$461.27	$1,715.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.18 / $3,010.76 / $5,330.02	Facility		$888.18	$3,010.76	$5,330.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.98 / $489.31 / $583.02	Professional		$366.98	$489.31	$583.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $401.27 / $401.27	Professional		$292.93	$401.27	$401.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $490.03 / $612.54 / $918.81	Professional		$490.03	$612.54	$918.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.30 / $175.30 / $460.32	Facility		$175.30	$175.30	$460.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $401.27 / $696.88	Professional		$292.93	$401.27	$696.88
United Facility/Professional Professional Modifier Low / Median / High Price $251.06 / $271.54 / $415.53	Professional		$251.06	$271.54	$415.53