Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $193.66 / $193.66	Facility		$193.66	$193.66	$193.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $189.00 / $768.85	Professional		$78.67	$189.00	$768.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.65 / $212.86 / $253.63	Professional		$159.65	$212.86	$253.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $215.20	Professional		$130.22	$178.39	$215.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.26 / $390.33 / $585.49	Professional		$312.26	$390.33	$585.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.23 / $77.23 / $200.25	Facility		$77.23	$77.23	$200.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $178.39 / $312.26	Professional		$130.22	$178.39	$312.26
United Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $119.65 / $189.75	Professional		$108.63	$119.65	$189.75