Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $98.83 / $98.83	Facility		$98.83	$98.83	$98.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.71 / $78.86	Professional		$62.10	$62.71	$78.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.41 / $399.92 / $651.66	Facility		$157.41	$399.92	$651.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $91.94	Professional		$68.44	$68.44	$91.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $79.84	Facility		$62.10	$62.10	$79.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $62.10	Professional		$62.10	$62.10	$62.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $93.23 / $120.85	Professional		$69.06	$93.23	$120.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $88.78	Facility		$62.10	$62.10	$88.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $84.89	Professional		$62.10	$62.10	$84.89
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $65.83	Professional		$62.10	$62.10	$65.83