Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.01 / $269.01 / $269.01	Facility		$269.01	$269.01	$269.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $237.62	Professional		$173.03	$174.75	$237.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $535.00 / $871.78	Facility		$210.60	$535.00	$871.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $142.41 / $223.83	Professional		$142.41	$142.41	$223.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $207.14	Facility		$173.03	$173.03	$207.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.99 / $232.76 / $338.98	Professional		$225.99	$232.76	$338.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.33 / $173.03 / $218.45	Facility		$87.33	$173.03	$218.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $207.14	Professional		$173.03	$173.03	$207.14
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $183.41	Professional		$173.03	$173.03	$183.41