Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $489.78	Facility		$186.21	$263.03	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $234.42	Professional		$169.82	$173.78	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $48.98 / $79.43	Facility		$22.39	$48.98	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $346.74	Facility		$173.78	$173.78	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $169.82	Professional		$162.18	$169.82	$169.82