Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $295.12	Professional		$138.04	$181.97	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $371.54	Professional		$234.42	$309.03	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $501.19	Professional		$138.04	$138.04	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $588.84	Professional		$309.03	$389.05	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $281.84 / $371.54	Facility		$97.72	$281.84	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $398.11	Professional		$138.04	$138.04	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $416.87	Facility		$117.49	$169.82	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $229.09	Professional		$138.04	$151.36	$229.09