Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $309.03	Professional		$95.50	$173.78	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $223.87	Professional		$147.91	$194.98	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $380.19	Professional		$204.17	$204.17	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $371.54	Professional		$199.53	$251.19	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $154.88 / $275.42	Facility		$83.18	$154.88	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $316.23	Professional		$173.78	$204.17	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $208.93 / $416.87	Facility		$144.54	$208.93	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $295.12	Professional		$173.78	$186.21	$295.12