Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Facility		$74.02	$74.02	$74.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $90.65 / $540.00	Professional		$74.02	$90.65	$540.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $120.57 / $143.66	Professional		$90.43	$120.57	$143.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $117.36	Professional		$85.67	$117.36	$117.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $150.94 / $226.41	Professional		$120.75	$150.94	$226.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $48.61 / $117.36	Facility		$48.61	$48.61	$117.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $176.88	Professional		$85.67	$117.36	$176.88
United Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $75.31 / $113.43	Professional		$68.37	$75.31	$113.43