Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $108.00 / $108.00	Facility		$69.20	$108.00	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $92.80 / $140.40	Professional		$66.47	$92.80	$140.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.10 / $408.01 / $699.70	Facility		$117.10	$408.01	$699.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $74.95 / $97.98	Professional		$59.82	$74.95	$97.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $110.15 / $153.47	Professional		$76.09	$110.15	$153.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.47	Professional		$32.34	$32.34	$129.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $75.00 / $106.17	Facility		$26.93	$75.00	$106.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $110.15 / $153.47	Professional		$91.79	$110.15	$153.47
United Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $114.68 / $165.24	Professional		$89.28	$114.68	$165.24