Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.02 / $124.02 / $124.02	Facility		$124.02	$124.02	$124.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $139.22 / $891.76	Professional		$124.02	$139.22	$891.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $202.04 / $240.73	Professional		$151.53	$202.04	$240.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $144.84	Facility		$144.84	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $285.80	Professional		$105.73	$105.73	$285.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.33 / $252.92 / $379.38	Professional		$202.33	$252.92	$379.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $74.66 / $190.04	Facility		$74.66	$74.66	$190.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $144.84 / $347.03	Professional		$105.73	$144.84	$347.03
United Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $115.64 / $174.20	Professional		$105.00	$115.64	$174.20