Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $70.45	Professional		$55.47	$55.47	$70.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.91 / $248.72 / $405.28	Facility		$97.91	$248.72	$405.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.38 / $55.47 / $67.68	Facility		$54.38	$55.47	$67.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $88.64 / $88.64	Professional		$54.38	$88.64	$88.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $70.45	Facility		$55.47	$55.47	$70.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $67.68	Professional		$55.47	$55.47	$67.68
United Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Facility		$55.47	$55.47	$55.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $58.80	Professional		$55.47	$55.47	$58.80