Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.51 / $175.51 / $175.51	Facility		$175.51	$175.51	$175.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.98 / $239.59 / $1,075.98	Professional		$167.98	$239.59	$1,075.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $254.15 / $302.83	Professional		$190.61	$254.15	$302.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $174.77	Professional		$127.58	$174.77	$174.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $318.16 / $477.24	Professional		$254.52	$318.16	$477.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.08 / $90.08 / $239.09	Facility		$90.08	$90.08	$239.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $174.77 / $390.45	Professional		$127.58	$174.77	$390.45
United Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $186.05 / $215.02	Professional		$129.01	$186.05	$215.02