Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $416.87 / $416.87	Facility		$190.55	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $162.18	Professional		$77.62	$123.03	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $660.69 / $1,122.02	Facility		$186.21	$660.69	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $147.91	Professional		$44.67	$102.33	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $134.90	Facility		$70.79	$91.20	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $165.96	Professional		$64.57	$120.23	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $1,584.89 / $3,548.13	Facility		$57.54	$1,584.89	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $87.10	Professional		$39.81	$43.65	$87.10