Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.71 / $168.71 / $168.71	Facility		$168.71	$168.71	$168.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.71 / $230.30 / $882.35	Professional		$168.71	$230.30	$882.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $244.30 / $291.08	Professional		$183.23	$244.30	$291.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.02 / $197.02 / $197.02	Facility		$197.02	$197.02	$197.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $197.02 / $197.02	Professional		$143.82	$197.02	$197.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.65 / $305.82 / $458.73	Professional		$244.65	$305.82	$458.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $98.50 / $229.83	Facility		$98.50	$98.50	$229.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $197.02 / $395.02	Professional		$143.82	$197.02	$395.02
United Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $152.57 / $229.88	Professional		$141.07	$152.57	$229.88