Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.55 / $144.55 / $144.55	Facility		$144.55	$144.55	$144.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $221.98 / $1,134.03	Professional		$144.55	$221.98	$1,134.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.61 / $235.48 / $280.58	Professional		$176.61	$235.48	$280.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $190.69	Professional		$139.19	$190.69	$190.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $345.44 / $431.81 / $647.71	Professional		$345.44	$431.81	$647.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $94.94 / $221.53	Facility		$94.94	$94.94	$221.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $345.44	Professional		$139.19	$190.69	$345.44
United Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $147.07 / $221.53	Professional		$133.54	$147.07	$221.53