Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.62 / $173.62 / $173.62	Facility		$173.62	$173.62	$173.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.62 / $266.63 / $991.87	Professional		$173.62	$266.63	$991.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $282.83 / $337.00	Professional		$212.12	$282.83	$337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $212.98	Facility		$212.98	$212.98	$212.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $212.98	Professional		$155.47	$212.98	$212.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.24 / $354.06 / $531.09	Professional		$283.24	$354.06	$531.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $101.34 / $266.08	Facility		$101.34	$101.34	$266.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $402.86	Professional		$155.47	$212.98	$402.86
United Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $156.97 / $236.45	Professional		$142.53	$156.97	$236.45