Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.66 / $114.66 / $114.66	Facility		$114.66	$114.66	$114.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $74.28 / $102.97	Professional		$73.94	$74.28	$102.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.20 / $254.55 / $414.78	Facility		$100.20	$254.55	$414.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $87.96	Facility		$73.94	$73.94	$87.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $73.88 / $114.72	Professional		$70.37	$73.88	$114.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $73.94 / $93.90	Facility		$73.94	$73.94	$93.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $87.96	Professional		$73.94	$73.94	$87.96
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $78.38	Professional		$73.94	$73.94	$78.38