Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $166.43 / $166.43	Facility		$166.43	$166.43	$166.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $255.59 / $1,159.01	Professional		$166.43	$255.59	$1,159.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.35 / $271.13 / $323.06	Professional		$203.35	$271.13	$323.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $218.57	Facility		$218.57	$218.57	$218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $218.57 / $218.57	Professional		$159.56	$218.57	$218.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.53 / $339.42 / $509.13	Professional		$271.53	$339.42	$509.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $97.03 / $255.08	Facility		$97.03	$97.03	$255.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $218.57 / $398.98	Professional		$159.56	$218.57	$398.98
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $150.31 / $226.41	Professional		$136.47	$150.31	$226.41