Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.43 / $196.43 / $196.43	Facility		$196.43	$196.43	$196.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $301.64 / $1,435.16	Professional		$196.43	$301.64	$1,435.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.99 / $319.99 / $381.28	Professional		$239.99	$319.99	$381.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.02 / $291.02 / $291.02	Facility		$291.02	$291.02	$291.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $291.02	Professional		$212.45	$291.02	$291.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.46 / $400.58 / $600.87	Professional		$320.46	$400.58	$600.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $120.15 / $301.04	Facility		$120.15	$120.15	$301.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $291.02 / $437.18	Professional		$212.45	$291.02	$437.18
United Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $184.46 / $200.76	Facility		$143.40	$184.46	$200.76
United Facility/Professional Professional Modifier Low / Median / High Price $168.99 / $186.11 / $280.36	Professional		$168.99	$186.11	$280.36