Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $57.55 / $57.55	Facility		$57.55	$57.55	$57.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $88.37 / $414.49	Professional		$57.55	$88.37	$414.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $93.74 / $111.70	Professional		$70.31	$93.74	$111.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $75.80 / $75.80	Professional		$55.33	$75.80	$75.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $117.35 / $176.02	Professional		$93.88	$117.35	$176.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $34.70 / $88.19	Facility		$34.70	$34.70	$88.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $75.80 / $137.52	Professional		$55.33	$75.80	$137.52
United Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $53.75 / $80.97	Professional		$48.81	$53.75	$80.97