Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.18 / $96.18 / $96.18	Facility		$96.18	$96.18	$96.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $147.71 / $549.51	Professional		$96.18	$147.71	$549.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $156.68 / $186.69	Professional		$117.51	$156.68	$186.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $112.22	Facility		$112.22	$112.22	$112.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $239.69	Professional		$81.92	$81.92	$239.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.84 / $287.31 / $430.96	Professional		$229.84	$287.31	$430.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $56.16 / $147.41	Facility		$56.16	$56.16	$147.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $112.22 / $228.54	Professional		$81.92	$112.22	$228.54
United Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $86.98 / $131.03	Professional		$78.98	$86.98	$131.03