Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $124.50 / $249.00	Facility		$62.25	$124.50	$249.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $99.60 / $533.69	Professional		$62.25	$99.60	$533.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $442.85 / $743.89	Facility		$124.50	$442.85	$743.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $74.42 / $94.21	Professional		$74.42	$74.42	$94.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.65 / $135.29 / $135.29	Professional		$128.65	$135.29	$135.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $83.04 / $104.58	Facility		$53.95	$83.04	$104.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $100.43 / $115.37	Professional		$87.61	$100.43	$115.37
United Facility/Professional Professional Modifier Low / Median / High Price $33.01 / $34.86 / $49.80	Professional		$33.01	$34.86	$49.80