Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $901.85 / $901.85 / $901.85	Facility		$901.85	$901.85	$901.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.85 / $1,067.98 / $1,370.66	Professional		$901.85	$1,067.98	$1,370.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $137.22 / $163.51	Professional		$102.92	$137.22	$163.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $109.87 / $147.10	Professional		$93.39	$109.87	$147.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $257.68 / $1,597.44	Professional		$100.18	$257.68	$1,597.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $532.04 / $1,370.66	Facility		$109.87	$532.04	$1,370.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $109.87 / $201.31	Professional		$93.39	$109.87	$201.31
United Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $94.33 / $825.37	Professional		$76.19	$94.33	$825.37