Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $380.19	Professional		$186.21	$245.47	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $407.38	Professional		$257.04	$346.74	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $724.44	Professional		$199.53	$199.53	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $645.65	Professional		$346.74	$436.52	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $323.59 / $562.34	Facility		$131.83	$323.59	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $630.96	Professional		$199.53	$199.53	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $562.34	Facility		$158.49	$229.09	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $309.03	Professional		$186.21	$204.17	$309.03