Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $94.64 / $94.64	Facility		$94.64	$94.64	$94.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $94.64 / $306.02	Professional		$73.42	$94.64	$306.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $87.69 / $160.22	Professional		$35.28	$87.69	$160.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $115.27 / $179.41	Professional		$57.74	$115.27	$179.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $159.03 / $168.31	Professional		$32.34	$159.03	$168.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $65.89 / $202.84	Facility		$41.03	$65.89	$202.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $126.70 / $230.62	Professional		$75.53	$126.70	$230.62
United Facility/Professional Facility Modifier Low / Median / High Price $117.23 / $117.23 / $259.77	Facility		$117.23	$117.23	$259.77
United Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $116.41 / $200.07	Professional		$74.81	$116.41	$200.07