Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.79 / $117.79 / $117.79	Facility		$117.79	$117.79	$117.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $98.15 / $117.79	Professional		$80.00	$98.15	$117.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.66 / $260.11 / $446.06	Facility		$74.66	$260.11	$446.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $86.81 / $115.75	Professional		$40.61	$86.81	$115.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $50.69 / $50.69	Professional		$50.69	$50.69	$50.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $96.58 / $96.58	Facility		$83.49	$96.58	$96.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
United Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $110.92 / $117.79	Professional		$103.33	$110.92	$117.79