Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $129.18 / $129.18	Facility		$129.18	$129.18	$129.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $82.72 / $116.00	Professional		$81.90	$82.72	$116.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.80 / $423.37 / $711.17	Facility		$171.80	$423.37	$711.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $71.70 / $131.91	Professional		$71.70	$71.70	$131.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $99.19	Facility		$81.90	$81.90	$99.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $107.12 / $138.86	Professional		$79.34	$107.12	$138.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $81.90 / $104.39	Facility		$81.90	$81.90	$104.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $99.19	Professional		$81.90	$81.90	$99.19
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $86.81	Professional		$81.90	$81.90	$86.81