Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $193.25 / $193.25	Facility		$193.25	$193.25	$193.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $124.01 / $193.25	Professional		$78.04	$124.01	$193.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $212.41 / $253.09	Professional		$159.31	$212.41	$253.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $292.49 / $433.42	Professional		$265.89	$292.49	$433.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.76 / $209.33 / $229.56	Facility		$161.76	$209.33	$229.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $374.83	Professional		$135.78	$135.78	$374.83
United Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $112.76 / $169.85	Professional		$104.25	$112.76	$169.85