Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.26 / $174.26 / $174.26	Facility		$174.26	$174.26	$174.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $174.26 / $248.41	Professional		$165.84	$174.26	$248.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $108.32 / $147.76	Professional		$61.10	$108.32	$147.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.49 / $306.10 / $375.74	Professional		$211.49	$306.10	$375.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $122.63 / $1,500.00	Professional		$85.00	$122.63	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.14 / $299.01 / $320.08	Facility		$260.14	$299.01	$320.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.49 / $306.10 / $375.74	Professional		$250.49	$306.10	$375.74
United Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $354.38 / $494.91	Professional		$266.20	$354.38	$494.91