Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.43 / $698.43 / $698.43	Facility		$698.43	$698.43	$698.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.43 / $932.87 / $1,340.79	Professional		$698.43	$932.87	$1,340.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $119.87 / $142.83	Professional		$89.90	$119.87	$142.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $121.19	Professional		$84.85	$99.82	$121.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.51 / $225.09 / $1,395.36	Professional		$87.51	$225.09	$1,395.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $483.26 / $1,159.66	Facility		$99.82	$483.26	$1,159.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $175.85	Professional		$84.85	$99.82	$175.85
United Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $85.70 / $749.78	Professional		$69.20	$85.70	$749.78