Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $73.62 / $92.41	Professional		$55.01	$73.62	$92.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $174.25 / $283.93	Facility		$47.52	$174.25	$283.93
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 $76.15 / $109.47 / $153.03	Professional		$76.15	$109.47	$153.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $95.00	Professional		$32.34	$32.34	$95.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $75.56 / $123.62	Facility		$51.75	$75.56	$123.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $109.47 / $152.30	Professional		$81.92	$109.47	$152.30
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $125.11 / $165.69	Professional		$76.95	$125.11	$165.69