Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $199.53	Professional		$70.79	$95.50	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.72 / $15.14	Professional		$7.94	$10.72	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $112.20	Professional		$95.50	$95.50	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $70.79 / $275.42	Professional		$19.50	$70.79	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $194.98	Facility		$74.13	$93.33	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $112.20	Professional		$63.10	$95.50	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $72.44 / $112.20	Facility		$10.47	$72.44	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $165.96	Professional		$70.79	$93.33	$165.96