Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.27 / $190.27 / $190.27	Facility		$190.27	$190.27	$190.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $259.73 / $746.33	Professional		$155.36	$259.73	$746.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $275.52 / $328.28	Professional		$206.64	$275.52	$328.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $161.63	Professional		$117.99	$161.63	$161.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.92 / $344.90 / $517.35	Professional		$275.92	$344.90	$517.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $83.31 / $259.20	Facility		$83.31	$83.31	$259.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $303.13	Professional		$117.99	$161.63	$303.13
United Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
United Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $129.05 / $197.48	Professional		$117.50	$129.05	$197.48