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 $210.13 / $268.56 / $349.07	Professional		$210.13	$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 $35.88 / $66.81 / $66.81	Professional		$35.88	$66.81	$66.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $66.89 / $100.33	Professional		$60.00	$66.89	$100.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $55.91 / $375.50	Facility		$14.31	$55.91	$375.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $54.67 / $66.81	Professional		$35.88	$54.67	$66.81
United Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $23.17 / $30.98	Professional		$16.19	$23.17	$30.98