Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $102.90 / $102.90	Facility		$102.90	$102.90	$102.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $158.03 / $587.71	Professional		$102.90	$158.03	$587.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $167.63 / $199.74	Professional		$125.72	$167.63	$199.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $147.05	Facility		$147.05	$147.05	$147.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $256.39	Professional		$107.35	$107.35	$256.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $209.85 / $314.77	Professional		$167.88	$209.85	$314.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $60.43 / $157.69	Facility		$60.43	$60.43	$157.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $147.05 / $247.97	Professional		$107.35	$147.05	$247.97
United Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $93.61 / $141.00	Professional		$84.99	$93.61	$141.00