Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.08 / $98.08 / $98.08	Facility		$98.08	$98.08	$98.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $150.63 / $577.13	Professional		$98.08	$150.63	$577.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $159.79 / $190.39	Professional		$119.84	$159.79	$190.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $142.94	Professional		$104.35	$142.94	$142.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $200.02 / $300.02	Professional		$160.01	$200.02	$300.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $64.42 / $150.31	Facility		$64.42	$64.42	$150.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $269.51	Professional		$104.35	$142.94	$269.51
United Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $99.79 / $150.31	Professional		$90.60	$99.79	$150.31