Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.64 / $209.64 / $209.64	Facility		$209.64	$209.64	$209.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $183.16 / $209.64	Professional		$176.54	$183.16	$209.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.70 / $709.41 / $1,188.45	Facility		$295.70	$709.41	$1,188.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $187.57 / $215.20	Facility		$168.13	$187.57	$215.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $187.57	Professional		$187.57	$187.57	$187.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.13 / $187.57 / $234.19	Facility		$168.13	$187.57	$234.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $187.57 / $292.74	Professional		$187.57	$187.57	$292.74