Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $302.00 / $316.23	Facility		$141.25	$302.00	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $630.96	Professional		$66.07	$89.13	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $660.69 / $1,023.29	Facility		$281.84	$660.69	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $114.82	Professional		$85.11	$85.11	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $245.47	Professional		$147.91	$147.91	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $141.25 / $281.84	Facility		$63.10	$141.25	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $134.90	Professional		$85.11	$125.89	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $56.23	Professional		$39.81	$52.48	$56.23