Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $132.91 / $132.91	Facility		$132.91	$132.91	$132.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.96 / $116.89	Professional		$85.12	$85.96	$116.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.99 / $505.17 / $848.57	Facility		$204.99	$505.17	$848.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $78.56 / $110.58	Professional		$78.56	$78.56	$110.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.12 / $104.85	Facility		$85.12	$85.12	$104.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $85.12	Professional		$85.12	$85.12	$85.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $123.08 / $165.69	Professional		$94.68	$123.08	$165.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.12 / $108.10	Facility		$85.12	$85.12	$108.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $104.85	Professional		$85.12	$85.12	$104.85
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $90.23	Professional		$85.12	$85.12	$90.23