Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $181.97	Professional		$83.18	$112.20	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $169.82	Professional		$112.20	$147.91	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $338.84	Professional		$85.11	$85.11	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $281.84	Professional		$147.91	$186.21	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $251.19	Facility		$60.26	$141.25	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $275.42	Professional		$85.11	$85.11	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $251.19	Facility		$72.44	$102.33	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $141.25	Professional		$85.11	$93.33	$141.25