Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.43 / $150.43 / $150.43	Facility		$150.43	$150.43	$150.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $205.35 / $723.88	Professional		$144.62	$205.35	$723.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.37 / $217.83 / $259.55	Professional		$163.37	$217.83	$259.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $170.64 / $170.64	Facility		$170.64	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $170.64	Professional		$124.57	$170.64	$170.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.15 / $272.69 / $409.03	Professional		$218.15	$272.69	$409.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $204.94	Facility		$77.55	$77.55	$204.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $319.56	Professional		$124.57	$170.64	$319.56
United Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $120.12 / $183.82	Professional		$111.07	$120.12	$183.82