Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $147.02 / $147.02	Facility		$147.02	$147.02	$147.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $200.69 / $818.37	Professional		$147.02	$200.69	$818.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $212.88 / $253.66	Professional		$159.66	$212.88	$253.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $166.52	Facility		$166.52	$166.52	$166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $166.52	Professional		$121.56	$166.52	$166.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $266.50 / $399.75	Professional		$213.20	$266.50	$399.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $85.83 / $200.28	Facility		$85.83	$85.83	$200.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $372.03	Professional		$121.56	$166.52	$372.03
United Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $146.80 / $203.46	Professional		$122.93	$146.80	$203.46