Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.61 / $93.61 / $93.61	Facility		$93.61	$93.61	$93.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $143.76 / $599.20	Professional		$93.61	$143.76	$599.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $152.50 / $181.70	Professional		$114.38	$152.50	$181.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $119.29	Facility		$119.29	$119.29	$119.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $312.83	Professional		$87.08	$87.08	$312.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.72 / $279.64 / $419.47	Professional		$223.72	$279.64	$419.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $143.46	Facility		$61.48	$61.48	$143.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $119.29 / $241.63	Professional		$87.08	$119.29	$241.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $95.24 / $143.46	Professional		$86.48	$95.24	$143.46