Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $64.09 / $129.80	Facility		$64.09	$64.09	$129.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $103.84 / $103.84	Professional		$64.09	$103.84	$103.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $64.38 / $184.32	Professional		$24.07	$64.38	$184.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $55.91 / $55.91	Facility		$55.91	$55.91	$55.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $107.28 / $140.29	Professional		$71.09	$107.28	$140.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $32.34 / $95.69	Professional		$31.82	$32.34	$95.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $126.35 / $162.79	Facility		$66.18	$126.35	$162.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $122.00 / $192.48	Professional		$74.17	$122.00	$192.48
United Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $94.75 / $169.06	Professional		$82.65	$94.75	$169.06