Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $160.16 / $160.16	Facility		$160.16	$160.16	$160.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $218.63 / $837.66	Professional		$130.78	$218.63	$837.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.94 / $231.92 / $276.33	Professional		$173.94	$231.92	$276.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $140.85	Facility		$140.85	$140.85	$140.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $267.52	Professional		$102.82	$102.82	$267.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.25 / $290.32 / $435.48	Professional		$232.25	$290.32	$435.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $70.13 / $218.18	Facility		$70.13	$70.13	$218.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $140.85 / $340.22	Professional		$102.82	$140.85	$340.22
United Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $108.63 / $167.39	Professional		$100.43	$108.63	$167.39