Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $248.63 / $248.63	Facility		$248.63	$248.63	$248.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $211.34 / $252.12	Professional		$175.00	$211.34	$252.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $121.90 / $164.57	Professional		$121.90	$121.90	$164.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $124.97 / $124.97	Professional		$124.97	$124.97	$124.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $232.20 / $232.20	Facility		$190.26	$232.20	$232.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
United Facility/Professional Facility Modifier Low / Median / High Price $248.63 / $248.63 / $248.63	Facility		$248.63	$248.63	$248.63
United Facility/Professional Professional Modifier Low / Median / High Price $234.27 / $248.63 / $248.78	Professional		$234.27	$248.63	$248.78