Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $398.11 / $398.11	Facility		$363.08	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $144.54	Professional		$85.11	$112.20	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $676.08 / $1,096.48	Facility		$263.03	$676.08	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $263.03	Professional		$190.55	$190.55	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $190.55 / $363.08	Facility		$81.28	$190.55	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $173.78	Professional		$134.90	$158.49	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $72.44	Professional		$51.29	$63.10	$72.44