Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.04 / $163.04 / $163.04	Facility		$163.04	$163.04	$163.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.24 / $146.41	Professional		$89.34	$90.24	$146.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.42 / $552.33 / $900.01	Facility		$217.42	$552.33	$900.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.92 / $126.92 / $166.50	Professional		$126.92	$126.92	$166.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $166.65	Facility		$89.34	$89.34	$166.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.29 / $145.52 / $211.93	Professional		$141.29	$145.52	$211.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $89.34 / $166.65	Facility		$89.34	$89.34	$166.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $169.74	Professional		$89.34	$89.34	$169.74
United Facility/Professional Facility Modifier Low / Median / High Price $118.75 / $118.75 / $118.75	Facility		$118.75	$118.75	$118.75
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $94.70	Professional		$89.34	$89.34	$94.70