Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $122.06 / $122.06	Facility		$122.06	$122.06	$122.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $166.63 / $785.33	Professional		$122.06	$166.63	$785.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $176.76 / $210.61	Professional		$132.57	$176.76	$210.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $170.15	Facility		$170.15	$170.15	$170.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $170.15	Professional		$124.21	$170.15	$170.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.02 / $221.28 / $331.92	Professional		$177.02	$221.28	$331.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $65.75 / $170.15	Facility		$65.75	$65.75	$170.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $259.31	Professional		$124.21	$170.15	$259.31
United Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $105.70 / $155.86	Professional		$94.16	$105.70	$155.86