Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.81 / $98.81 / $98.81	Facility		$98.81	$98.81	$98.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $101.42	Professional		$79.86	$79.86	$101.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.87 / $761.16 / $1,278.58	Facility		$308.87	$761.16	$1,278.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $79.86 / $134.84	Facility		$79.86	$79.86	$134.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $135.28 / $202.92	Professional		$102.98	$135.28	$202.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $93.45 / $148.54	Facility		$79.86	$93.45	$148.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $113.87	Professional		$79.86	$79.86	$113.87
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $84.65	Professional		$79.86	$79.86	$84.65