Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.42 / $103.42 / $103.42	Facility		$103.42	$103.42	$103.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $141.06 / $690.78	Professional		$103.42	$141.06	$690.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $167.81 / $273.45	Facility		$45.77	$167.81	$273.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $176.02 / $199.49	Professional		$61.87	$176.02	$199.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $170.05 / $177.75	Professional		$32.34	$170.05	$177.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.31 / $214.85 / $246.46	Facility		$125.31	$214.85	$246.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $193.31 / $251.70	Professional		$61.87	$193.31	$251.70
United Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $166.44 / $230.69	Professional		$131.38	$166.44	$230.69