Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.87 / $220.87 / $220.87	Facility		$220.87	$220.87	$220.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $301.50 / $1,322.56	Professional		$220.87	$301.50	$1,322.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.54 / $1,967.84 / $3,483.82	Facility		$580.54	$1,967.84	$3,483.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.87 / $319.83 / $381.08	Professional		$239.87	$319.83	$381.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $296.00 / $296.00	Professional		$216.08	$296.00	$296.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.29 / $400.37 / $600.55	Professional		$320.29	$400.37	$600.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $121.95 / $300.88	Facility		$121.95	$121.95	$300.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $296.00 / $443.74	Professional		$216.08	$296.00	$443.74
United Facility/Professional Professional Modifier Low / Median / High Price $174.66 / $188.91 / $339.62	Professional		$174.66	$188.91	$339.62