Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.55 / $206.55 / $206.55	Facility		$206.55	$206.55	$206.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $199.80 / $206.55	Professional		$142.79	$199.80	$206.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.89 / $219.85 / $219.85	Professional		$164.89	$219.85	$219.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $448.59 / $448.59	Professional		$330.25	$448.59	$448.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.25 / $170.58 / $275.20	Facility		$120.25	$170.58	$275.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $322.51	Professional		$160.94	$160.94	$322.51
United Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $144.59 / $240.98	Professional		$144.59	$144.59	$240.98