Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.06 / $203.06 / $203.06	Facility		$203.06	$203.06	$203.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.21 / $277.19 / $1,224.70	Professional		$191.21	$277.19	$1,224.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.53 / $294.04 / $350.35	Professional		$220.53	$294.04	$350.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $221.07	Facility		$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $221.07 / $221.07	Professional		$161.38	$221.07	$221.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $431.35 / $539.19 / $808.78	Professional		$431.35	$539.19	$808.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $102.53 / $276.63	Facility		$102.53	$102.53	$276.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $221.07 / $436.24	Professional		$161.38	$221.07	$436.24
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $158.83 / $243.04	Professional		$146.84	$158.83	$243.04