Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $257.04	Facility		$81.28	$114.82	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $93.33	Professional		$72.44	$72.44	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $257.04 / $416.87	Facility		$114.82	$257.04	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $107.15	Facility		$74.13	$87.10	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $123.03	Professional		$70.79	$77.62	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $117.49	Facility		$69.18	$75.86	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $77.62	Professional		$70.79	$74.13	$77.62