Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $183.33 / $366.66	Facility		$91.67	$183.33	$366.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $146.66 / $785.88	Professional		$91.67	$146.66	$785.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $809.62 / $1,314.53	Facility		$220.00	$809.62	$1,314.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $79.44 / $79.44	Facility		$79.44	$79.44	$79.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $109.46 / $154.02	Professional		$109.46	$109.46	$154.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.44 / $199.22 / $199.22	Professional		$189.44	$199.22	$199.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $168.00 / $190.12	Facility		$79.44	$168.00	$190.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $154.61 / $175.91	Professional		$140.55	$154.61	$175.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $70.03 / $73.33	Professional		$51.33	$70.03	$73.33