Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $194.98	Professional		$85.11	$125.89	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $204.17	Professional		$107.15	$134.90	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $416.87	Professional		$109.65	$109.65	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $316.23	Professional		$169.82	$213.80	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $158.49 / $275.42	Facility		$69.18	$158.49	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $338.84	Professional		$109.65	$109.65	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $288.40	Facility		$81.28	$117.49	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $158.49	Professional		$95.50	$107.15	$158.49