Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.48 / $164.48 / $167.73	Facility		$164.48	$164.48	$167.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $203.34 / $251.71	Professional		$167.73	$203.34	$251.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $192.40 / $461.70	Professional		$114.68	$192.40	$461.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.93 / $303.82 / $423.81	Professional		$226.93	$303.82	$423.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $319.58	Professional		$32.34	$32.34	$319.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.65 / $192.54 / $245.58	Facility		$166.65	$192.54	$245.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.01 / $313.58 / $463.21	Professional		$224.01	$313.58	$463.21
United Facility/Professional Professional Modifier Low / Median / High Price $270.62 / $332.20 / $477.16	Professional		$270.62	$332.20	$477.16