Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.80 / $117.80 / $117.80	Facility		$117.80	$117.80	$117.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $160.81 / $778.56	Professional		$117.80	$160.81	$778.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $170.59 / $203.26	Professional		$127.94	$170.59	$203.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $170.89 / $170.89	Professional		$124.75	$170.89	$170.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $213.54 / $320.31	Professional		$170.83	$213.54	$320.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.18 / $65.18 / $170.89	Facility		$65.18	$65.18	$170.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $170.89 / $250.25	Professional		$124.75	$170.89	$250.25
United Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $115.58 / $154.50	Professional		$93.35	$115.58	$154.50