Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.40 / $345.40 / $345.40	Facility		$345.40	$345.40	$345.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $441.90 / $441.90	Professional		$345.40	$441.90	$441.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $55.93 / $67.84	Professional		$41.95	$55.93	$67.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $150.00 / $150.00	Professional		$54.43	$150.00	$150.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $105.64 / $705.12	Professional		$56.34	$105.64	$705.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $391.02 / $573.50	Facility		$150.00	$391.02	$573.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $150.00 / $150.00	Professional		$54.43	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $300.08 / $538.11	Professional		$275.00	$300.08	$538.11