Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.67 / $127.67 / $127.67	Facility		$127.67	$127.67	$127.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $196.07 / $1,247.50	Professional		$127.67	$196.07	$1,247.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.35 / $159.13 / $235.13	Professional		$119.35	$159.13	$235.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $214.95	Professional		$156.91	$214.95	$214.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.90 / $246.13 / $369.19	Professional		$196.90	$246.13	$369.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $104.44 / $281.80	Facility		$104.44	$104.44	$281.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $291.70	Professional		$156.91	$214.95	$291.70
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $161.78 / $243.70	Professional		$146.88	$161.78	$243.70