Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $94.24 / $197.16	Facility		$94.24	$94.24	$197.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $124.96 / $157.72	Professional		$94.24	$124.96	$157.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $481.91 / $807.33	Facility		$90.00	$481.91	$807.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $114.16 / $114.16	Facility		$114.16	$114.16	$114.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.32 / $171.96 / $218.40	Professional		$107.32	$171.96	$218.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $78.55 / $1,500.00	Professional		$54.98	$78.55	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $116.80 / $156.07	Facility		$69.84	$116.80	$156.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $218.40 / $244.87	Professional		$133.66	$218.40	$244.87
United Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $179.55 / $280.10	Professional		$150.16	$179.55	$280.10