Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.64 / $106.64 / $106.64	Facility		$106.64	$106.64	$106.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $104.07 / $423.38	Professional		$88.04	$104.07	$423.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $117.21 / $139.66	Professional		$87.91	$117.21	$139.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $103.71	Professional		$74.93	$88.15	$103.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $146.72 / $220.09	Professional		$117.38	$146.72	$220.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $40.18 / $110.28	Facility		$40.18	$40.18	$110.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $103.71 / $171.95	Professional		$74.93	$103.71	$171.95
United Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $97.64 / $98.52	Facility		$56.58	$97.64	$98.52
United Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $62.23 / $93.74	Professional		$56.18	$62.23	$93.74