Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.84 / $172.84 / $172.84	Facility		$172.84	$172.84	$172.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.84 / $265.43 / $1,158.81	Professional		$172.84	$265.43	$1,158.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.17 / $281.56 / $335.49	Professional		$211.17	$281.56	$335.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $188.22	Professional		$137.40	$188.22	$188.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.97 / $352.47 / $528.70	Professional		$281.97	$352.47	$528.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $97.02 / $264.88	Facility		$97.02	$97.02	$264.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $188.22 / $413.05	Professional		$137.40	$188.22	$413.05
United Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $150.28 / $226.37	Professional		$136.44	$150.28	$226.37