Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $218.78	Facility		$83.18	$117.49	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $107.15	Professional		$75.86	$77.62	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $204.17 / $346.74	Facility		$95.50	$204.17	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $75.86 / $151.36	Facility		$27.54	$75.86	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $75.86	Professional		$72.44	$75.86	$75.86