Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.46 / $110.46 / $110.46	Facility		$110.46	$110.46	$110.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $150.78 / $560.82	Professional		$106.86	$150.78	$560.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.96 / $159.94 / $190.58	Professional		$119.96	$159.94	$190.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $120.62	Professional		$88.05	$120.62	$120.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $200.23 / $300.34	Professional		$160.18	$200.23	$300.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $57.30 / $150.47	Facility		$57.30	$57.30	$150.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $227.78	Professional		$88.05	$120.62	$227.78
United Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $88.76 / $133.74	Professional		$82.07	$88.76	$133.74