Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.08 / $173.08 / $173.08	Facility		$173.08	$173.08	$173.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $154.15 / $368.79	Professional		$140.75	$154.15	$368.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $676.30 / $1,102.03	Facility		$184.44	$676.30	$1,102.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $144.06 / $165.98	Professional		$124.49	$144.06	$165.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $125.23 / $125.23	Professional		$125.23	$125.23	$125.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $144.32 / $161.82	Facility		$98.32	$144.32	$161.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
United Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $173.08 / $173.38	Professional		$163.26	$173.08	$173.38