Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.92 / $145.83 / $291.66	Facility		$72.92	$145.83	$291.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $116.66 / $625.13	Professional		$72.92	$116.66	$625.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.83 / $518.72 / $871.33	Facility		$145.83	$518.72	$871.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $63.19 / $63.19	Facility		$63.19	$63.19	$63.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $87.13 / $110.19	Professional		$87.13	$87.13	$110.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $158.47 / $158.47	Professional		$150.69	$158.47	$158.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.19 / $101.97 / $122.50	Facility		$63.19	$101.97	$122.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $117.64 / $135.13	Professional		$107.58	$117.64	$135.13
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $40.83 / $58.33	Professional		$40.83	$40.83	$58.33