Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.04 / $189.04 / $189.04	Facility		$189.04	$189.04	$189.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $258.06 / $960.05	Professional		$184.07	$258.06	$960.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $273.75 / $326.18	Professional		$205.31	$273.75	$326.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $220.51	Facility		$220.51	$220.51	$220.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $220.51 / $220.51	Professional		$160.97	$220.51	$220.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $274.15 / $342.69 / $514.03	Professional		$274.15	$342.69	$514.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $98.71 / $257.54	Facility		$98.71	$98.71	$257.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $220.51 / $389.93	Professional		$160.97	$220.51	$389.93
United Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $152.90 / $233.98	Professional		$141.37	$152.90	$233.98