Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.88 / $119.88 / $119.88	Facility		$119.88	$119.88	$119.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.01 / $163.63 / $608.71	Professional		$116.01	$163.63	$608.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $173.59 / $206.83	Professional		$130.19	$173.59	$206.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $171.65 / $171.65	Professional		$145.90	$171.65	$171.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.84 / $217.30 / $325.95	Professional		$173.84	$217.30	$325.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $141.47 / $171.65	Facility		$141.47	$141.47	$171.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $171.65 / $247.22	Professional		$145.90	$171.65	$247.22
United Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $96.36 / $145.19	Professional		$89.09	$96.36	$145.19