Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.19 / $205.19 / $205.19	Facility		$205.19	$205.19	$205.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.52 / $280.10 / $1,041.97	Professional		$198.52	$280.10	$1,041.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.86 / $297.14 / $354.04	Professional		$222.86	$297.14	$354.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $454.74	Professional		$174.73	$174.73	$454.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $297.57 / $371.97 / $557.95	Professional		$297.57	$371.97	$557.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $106.46 / $279.52	Facility		$106.46	$106.46	$279.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $239.35 / $433.36	Professional		$174.73	$239.35	$433.36
United Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $164.90 / $252.34	Professional		$152.46	$164.90	$252.34