Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.97 / $143.97 / $143.97	Facility		$143.97	$143.97	$143.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $196.53 / $752.99	Professional		$117.56	$196.53	$752.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $208.48 / $248.40	Professional		$156.36	$208.48	$248.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $122.31	Professional		$89.29	$122.31	$122.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $260.98 / $391.47	Professional		$208.78	$260.98	$391.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $63.04 / $196.13	Facility		$63.04	$63.04	$196.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $229.38	Professional		$89.29	$122.31	$229.38
United Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $111.78 / $149.43	Professional		$90.29	$111.78	$149.43