Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.81 / $204.81 / $204.81	Facility		$204.81	$204.81	$204.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $279.58 / $1,071.22	Professional		$167.25	$279.58	$1,071.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.44 / $296.58 / $353.39	Professional		$222.44	$296.58	$353.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $177.64	Professional		$129.68	$177.64	$177.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $297.02 / $371.28 / $556.91	Professional		$297.02	$371.28	$556.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $89.69 / $279.02	Facility		$89.69	$89.69	$279.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $334.60	Professional		$129.68	$177.64	$334.60
United Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $159.02 / $212.59	Professional		$128.44	$159.02	$212.59