Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $120.23	Professional		$56.23	$75.86	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $281.84	Facility		$79.43	$173.78	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $89.13	Facility		$64.57	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $151.36	Professional		$77.62	$114.82	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $128.82	Facility		$56.23	$75.86	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $147.91	Professional		$75.86	$112.20	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $158.49	Professional		$56.23	$104.71	$158.49