Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $194.98	Professional		$138.04	$141.25	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $794.33 / $1,318.26	Facility		$316.23	$794.33	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $177.83	Professional		$131.83	$131.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Professional		$138.04	$138.04	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $295.12	Professional		$138.04	$158.49	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $316.23	Facility		$134.90	$165.96	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Professional		$125.89	$125.89	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $234.42	Professional		$125.89	$134.90	$234.42