Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $114.82	Facility		$89.13	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $107.15	Professional		$81.28	$89.13	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $269.15	Professional		$104.71	$138.04	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $91.20 / $91.20	Facility		$33.11	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $229.09 / $229.09	Facility		$102.33	$229.09	$229.09