Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $70.08 / $74.95	Facility		$70.08	$70.08	$74.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $88.84 / $111.60	Professional		$70.08	$88.84	$111.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $174.25 / $283.93	Facility		$47.52	$174.25	$283.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $61.26 / $85.34	Professional		$35.26	$61.26	$85.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $135.11 / $169.56	Professional		$82.39	$135.11	$169.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $95.00 / $143.20	Professional		$78.11	$95.00	$143.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.18 / $89.56 / $109.56	Facility		$71.18	$89.56	$109.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $140.69 / $169.56	Professional		$105.88	$140.69	$169.56
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $136.16 / $184.23	Professional		$97.44	$136.16	$184.23