Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $177.83	Professional		$79.43	$104.71	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $223.87	Professional		$141.25	$186.21	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $257.04	Professional		$81.28	$81.28	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $354.81	Professional		$186.21	$234.42	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $169.82 / $218.78	Facility		$56.23	$169.82	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $213.80	Professional		$81.28	$81.28	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $97.72 / $239.88	Facility		$67.61	$97.72	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $131.83	Professional		$79.43	$87.10	$131.83