Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.78 / $131.78 / $131.78	Facility		$131.78	$131.78	$131.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $107.41	Professional		$84.57	$84.57	$107.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $104.54 / $139.22	Professional		$104.54	$104.54	$139.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $117.63	Facility		$84.57	$84.57	$117.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $84.57	Professional		$84.57	$84.57	$84.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $191.74 / $191.74	Professional		$117.63	$191.74	$191.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $84.57 / $129.19	Facility		$84.57	$84.57	$129.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $146.81	Professional		$84.57	$84.57	$146.81
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $89.64	Professional		$84.57	$84.57	$89.64