Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.15 / $226.15 / $226.15	Facility		$226.15	$226.15	$226.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.15 / $268.56 / $349.07	Professional		$226.15	$268.56	$349.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $36.47 / $45.38	Professional		$27.35	$36.47	$45.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $34.33 / $34.33	Professional		$34.33	$34.33	$34.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $45.93 / $68.89	Professional		$45.93	$45.93	$68.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $256.02 / $379.76	Facility		$32.81	$256.02	$379.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $46.08 / $61.42	Professional		$34.33	$46.08	$61.42
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.86 / $51.63	Professional		$23.17	$26.86	$51.63