Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.47 / $328.47 / $328.47	Facility		$328.47	$328.47	$328.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $704.02 / $704.02	Professional		$82.12	$704.02	$704.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.23 / $572.22 / $981.30	Facility		$164.23	$572.22	$981.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $71.17 / $71.17	Facility		$71.17	$71.17	$71.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $125.55 / $156.94	Professional		$50.49	$125.55	$156.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $60.22 / $60.22	Professional		$60.22	$60.22	$60.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $104.02 / $131.38	Facility		$74.63	$104.02	$131.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $109.49 / $123.22	Professional		$60.64	$109.49	$123.22
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $48.32 / $65.69	Professional		$45.99	$48.32	$65.69