Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $72.18	Facility		$72.18	$72.18	$72.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $88.28 / $508.39	Professional		$72.18	$88.28	$508.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $117.58 / $140.10	Professional		$88.19	$117.58	$140.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $102.60	Professional		$74.90	$102.60	$102.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $215.61 / $323.41	Professional		$172.48	$215.61	$323.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $45.51 / $110.62	Facility		$45.51	$45.51	$110.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $102.60 / $184.48	Professional		$74.90	$102.60	$184.48
United Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $70.48 / $106.19	Professional		$65.17	$70.48	$106.19