Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $69.09 / $69.09	Facility		$69.09	$69.09	$69.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $88.35 / $101.33	Professional		$69.09	$88.35	$101.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $88.81 / $201.15	Professional		$60.66	$88.81	$201.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $96.70 / $96.70	Facility		$96.70	$96.70	$96.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $133.79 / $177.05	Professional		$94.97	$133.79	$177.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.40	Professional		$32.34	$32.34	$121.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.84 / $90.92 / $128.41	Facility		$74.84	$90.92	$128.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.93 / $146.61 / $223.39	Professional		$97.93	$146.61	$223.39
United Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $136.50 / $187.92	Professional		$88.56	$136.50	$187.92