Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $173.78	Professional		$81.28	$112.20	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $199.53	Professional		$107.15	$134.90	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $309.03	Professional		$109.65	$109.65	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $316.23	Professional		$169.82	$208.93	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $151.36 / $229.09	Facility		$60.26	$151.36	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $245.47	Professional		$109.65	$109.65	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $104.71 / $257.04	Facility		$72.44	$104.71	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $141.25	Professional		$85.11	$93.33	$141.25