Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.32 / $198.32 / $198.32	Facility		$198.32	$198.32	$198.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $304.56 / $1,166.89	Professional		$182.18	$304.56	$1,166.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.31 / $323.08 / $384.95	Professional		$242.31	$323.08	$384.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Facility		$196.21	$196.21	$196.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $196.21	Professional		$143.22	$196.21	$196.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $473.95 / $592.44 / $888.66	Professional		$473.95	$592.44	$888.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $97.69 / $303.93	Facility		$97.69	$97.69	$303.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $196.21 / $443.18	Professional		$143.22	$196.21	$443.18
United Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $151.33 / $227.95	Professional		$139.91	$151.33	$227.95