Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.15 / $226.15 / $226.15	Facility		$226.15	$226.15	$226.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $268.56 / $349.07	Professional		$210.13	$268.56	$349.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $36.47 / $45.38	Professional		$27.35	$36.47	$45.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $318.39 / $318.39	Facility		$64.00	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $47.50 / $71.25	Professional		$47.50	$47.50	$71.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $226.15 / $375.50	Facility		$15.29	$226.15	$375.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $270.64 / $318.39	Professional		$43.32	$270.64	$318.39
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $28.14 / $51.63	Professional		$23.17	$28.14	$51.63