Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $94.45 / $96.87	Facility		$94.45	$94.45	$96.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $93.83 / $100.17	Professional		$92.03	$93.83	$100.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $88.22 / $139.72	Professional		$67.64	$88.22	$139.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.00 / $94.45	Professional		$32.34	$60.00	$94.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $93.25 / $121.98	Facility		$90.90	$93.25	$121.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $107.80 / $246.62	Professional		$86.90	$107.80	$246.62
United Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $132.61 / $201.45	Professional		$92.28	$132.61	$201.45