Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.37 / $696.37 / $696.37	Facility		$696.37	$696.37	$696.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.37 / $932.87 / $1,340.79	Professional		$696.37	$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 Professional Modifier Low / Median / High Price $93.11 / $109.54 / $121.19	Professional		$93.11	$109.54	$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 $112.76 / $483.26 / $1,156.23	Facility		$112.76	$483.26	$1,156.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $121.19 / $206.88	Professional		$93.11	$121.19	$206.88
United Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $85.70 / $749.78	Professional		$69.20	$85.70	$749.78