Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $363.08	Facility		$114.82	$162.18	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $131.83	Professional		$104.71	$107.15	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $512.86 / $870.96	Facility		$239.88	$512.86	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $158.49	Professional		$89.13	$89.13	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $120.23 / $147.91	Facility		$104.71	$120.23	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $208.93	Professional		$97.72	$112.20	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $107.15 / $173.78	Facility		$104.71	$107.15	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $120.23	Professional		$104.71	$104.71	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $112.20	Professional		$97.72	$104.71	$112.20