Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.32 / $122.32 / $122.32	Facility		$122.32	$122.32	$122.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $125.71	Professional		$79.00	$79.79	$125.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.37 / $298.17 / $485.86	Facility		$117.37	$298.17	$485.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $66.91 / $101.77	Professional		$66.91	$66.91	$101.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $93.54	Facility		$79.00	$79.00	$93.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $82.75 / $122.59	Professional		$80.34	$82.75	$122.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $105.44	Facility		$79.00	$79.00	$105.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $93.54	Professional		$79.00	$79.00	$93.54
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $83.74	Professional		$79.00	$79.00	$83.74