Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $78.66 / $78.66	Facility		$78.66	$78.66	$78.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.66 / $108.40 / $468.80	Professional		$78.66	$108.40	$468.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $11.54 / $16.88	Professional		$8.66	$11.54	$16.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $121.41 / $123.50	Professional		$12.35	$121.41	$123.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $79.15 / $211.57	Professional		$17.67	$79.15	$211.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $100.57 / $150.97	Facility		$84.93	$100.57	$150.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $121.41 / $123.50	Professional		$12.35	$121.41	$123.50
United Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $104.84 / $170.81	Professional		$78.36	$104.84	$170.81