Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.08 / $346.08 / $346.08	Facility		$346.08	$346.08	$346.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.15 / $741.77 / $741.77	Professional		$106.15	$741.77	$741.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.65 / $764.13 / $1,240.68	Facility		$207.65	$764.13	$1,240.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $74.98	Facility		$74.98	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $169.18 / $251.42	Professional		$72.61	$169.18	$251.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $178.81 / $188.04	Professional		$63.45	$178.81	$188.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $126.90 / $158.57	Facility		$109.59	$126.90	$158.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $145.93 / $230.70	Professional		$115.36	$145.93	$230.70
United Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $87.40 / $87.40	Facility		$77.29	$87.40	$87.40
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $69.22 / $69.39	Professional		$48.45	$69.22	$69.39