Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $146.41 / $146.41	Facility		$146.41	$146.41	$146.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $224.84 / $836.34	Professional		$146.41	$224.84	$836.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $238.51 / $284.19	Professional		$178.88	$238.51	$284.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $176.58 / $176.58	Professional		$128.90	$176.58	$176.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $349.89 / $437.37 / $656.05	Professional		$349.89	$437.37	$656.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $85.45 / $224.37	Facility		$85.45	$85.45	$224.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $176.58 / $339.68	Professional		$128.90	$176.58	$339.68
United Facility/Professional Professional Modifier Low / Median / High Price $120.18 / $132.35 / $199.38	Professional		$120.18	$132.35	$199.38