Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $120.46 / $120.46	Facility		$77.39	$120.46	$120.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $98.29 / $184.68	Professional		$77.39	$98.29	$184.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $70.95 / $91.12	Professional		$70.95	$70.95	$91.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Facility		$77.39	$77.39	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $39.20 / $39.20	Professional		$39.20	$39.20	$39.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.17 / $77.39 / $77.39	Facility		$75.17	$77.39	$77.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39