Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.36 / $134.36 / $134.36	Facility		$134.36	$134.36	$134.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $170.33 / $170.33	Professional		$132.97	$170.33	$170.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $19.84 / $26.15	Professional		$14.88	$19.84	$26.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $178.86	Professional		$20.14	$20.14	$178.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $41.05 / $331.68	Professional		$21.89	$41.05	$331.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $167.31 / $223.08	Facility		$132.97	$167.31	$223.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $113.08 / $178.86	Professional		$20.14	$113.08	$178.86
United Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $140.91 / $252.47	Professional		$110.44	$140.91	$252.47