Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $71.34 / $71.34	Facility		$71.34	$71.34	$71.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $97.77 / $433.37	Professional		$71.34	$97.77	$433.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.60 / $15.01	Professional		$7.95	$10.60	$15.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Facility		$96.60	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $96.60 / $111.16	Professional		$96.60	$96.60	$111.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $71.59 / $220.63	Professional		$19.44	$71.59	$220.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $89.85 / $132.02	Facility		$74.26	$89.85	$132.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $96.60 / $111.16	Professional		$96.60	$96.60	$111.16
United Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $92.39 / $149.35	Professional		$71.19	$92.39	$149.35