Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $323.59	Facility		$102.33	$144.54	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $131.83	Professional		$93.33	$93.33	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $478.63 / $794.33	Facility		$218.78	$478.63	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $117.49	Professional		$81.28	$81.28	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $134.90	Facility		$93.33	$109.65	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $154.88	Professional		$89.13	$97.72	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $154.88	Facility		$93.33	$95.50	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $109.65	Professional		$93.33	$93.33	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $100.00	Professional		$89.13	$93.33	$100.00