Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $126.06 / $126.06	Facility		$126.06	$126.06	$126.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $127.38 / $556.28	Professional		$115.79	$127.38	$556.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $205.36 / $244.68	Professional		$154.02	$205.36	$244.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $138.33	Facility		$138.33	$138.33	$138.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $100.98 / $267.52	Professional		$100.98	$100.98	$267.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.65 / $257.07 / $385.60	Professional		$205.65	$257.07	$385.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $193.19	Facility		$62.10	$62.10	$193.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $138.33 / $250.73	Professional		$100.98	$138.33	$250.73
United Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $96.19 / $144.88	Professional		$87.33	$96.19	$144.88