Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.29 / $104.29 / $104.29	Facility		$104.29	$104.29	$104.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $160.16 / $613.64	Professional		$104.29	$160.16	$613.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $169.90 / $202.44	Professional		$127.43	$169.90	$202.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $150.11	Professional		$109.58	$150.11	$150.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $212.68 / $319.02	Professional		$170.14	$212.68	$319.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $68.50 / $159.83	Facility		$68.50	$68.50	$159.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $296.91	Professional		$109.58	$150.11	$296.91
United Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $106.10 / $159.83	Professional		$96.34	$106.10	$159.83