Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $90.21 / $90.21	Facility		$90.21	$90.21	$90.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $138.54 / $398.08	Professional		$82.85	$138.54	$398.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $146.96 / $175.10	Professional		$110.22	$146.96	$175.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $86.21	Professional		$62.93	$86.21	$86.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.17 / $183.97 / $275.95	Professional		$147.17	$183.97	$275.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $44.44 / $138.25	Facility		$44.44	$44.44	$138.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $173.93	Professional		$62.93	$86.21	$173.93
United Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $68.83 / $103.69	Professional		$62.21	$68.83	$103.69