Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.55 / $128.55 / $128.55	Facility		$128.55	$128.55	$128.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $175.48 / $634.41	Professional		$125.23	$175.48	$634.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $186.15 / $221.80	Professional		$139.61	$186.15	$221.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $175.58	Professional		$128.16	$175.58	$175.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.42 / $233.03 / $349.54	Professional		$186.42	$233.03	$349.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $175.58	Facility		$67.15	$67.15	$175.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $273.08	Professional		$128.16	$175.58	$273.08
United Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $104.02 / $159.18	Professional		$94.01	$104.02	$159.18