Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.83 / $140.83 / $281.27	Facility		$140.83	$140.83	$281.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.83 / $225.02 / $1,181.56	Professional		$140.83	$225.02	$1,181.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $45.55 / $211.07	Professional		$23.75	$45.55	$211.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.87 / $383.87 / $383.87	Facility		$383.87	$383.87	$383.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.91 / $263.36 / $358.06	Professional		$199.91	$263.36	$358.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $38.89 / $266.85	Professional		$30.42	$38.89	$266.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.21 / $213.84 / $288.00	Facility		$162.21	$213.84	$288.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.57 / $291.58 / $358.06	Professional		$175.57	$291.58	$358.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,158.73 / $1,158.73 / $1,158.73	Facility		$1,158.73	$1,158.73	$1,158.73
United Facility/Professional Professional Modifier Low / Median / High Price $157.51 / $172.94 / $401.84	Professional		$157.51	$172.94	$401.84