Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.41 / $112.41 / $112.41	Facility		$112.41	$112.41	$112.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.41 / $139.90 / $231.96	Professional		$112.41	$139.90	$231.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $288.97 / $506.48	Facility		$78.53	$288.97	$506.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $102.53 / $151.62	Professional		$38.79	$102.53	$151.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $225.62 / $302.58	Professional		$155.60	$225.62	$302.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $59.18 / $185.52	Professional		$32.34	$59.18	$185.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.10 / $128.84 / $194.27	Facility		$100.10	$128.84	$194.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $228.10 / $342.27	Professional		$155.60	$228.10	$342.27
United Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $235.30 / $353.91	Professional		$153.44	$235.30	$353.91