Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.66 / $137.66 / $137.66	Facility		$137.66	$137.66	$137.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $149.50 / $196.24	Professional		$137.66	$149.50	$196.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.65 / $1,392.10 / $2,268.41	Facility		$379.65	$1,392.10	$2,268.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.57 / $316.69 / $458.52	Professional		$178.57	$316.69	$458.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $168.95	Professional		$50.00	$70.00	$168.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $154.22 / $196.24	Facility		$84.50	$154.22	$196.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.57 / $286.01 / $417.10	Professional		$178.57	$286.01	$417.10
United Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $202.40 / $426.63	Professional		$128.87	$202.40	$426.63