Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.19 / $169.19 / $169.19	Facility		$169.19	$169.19	$169.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $230.96 / $859.03	Professional		$163.66	$230.96	$859.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $245.00 / $291.92	Professional		$183.75	$245.00	$291.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $170.29	Facility		$170.29	$170.29	$170.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $170.29	Professional		$144.75	$170.29	$170.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.36 / $306.70 / $460.05	Professional		$245.36	$306.70	$460.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $87.77 / $230.48	Facility		$87.77	$87.77	$230.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $348.91	Professional		$144.75	$170.29	$348.91
United Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $135.94 / $204.85	Professional		$125.70	$135.94	$204.85