Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.23 / $103.23 / $160.83	Facility		$103.23	$103.23	$160.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.11 / $151.62 / $285.70	Professional		$95.11	$151.62	$285.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $134.69 / $209.47	Professional		$80.81	$134.69	$209.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $174.97 / $275.35	Professional		$113.83	$174.97	$275.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $232.45	Professional		$32.34	$32.34	$232.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.17 / $155.35 / $227.56	Facility		$103.17	$155.35	$227.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $183.00 / $313.35	Professional		$117.45	$183.00	$313.35
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $223.65 / $336.60	Professional		$162.36	$223.65	$336.60