Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.61 / $90.61 / $90.61	Facility		$90.61	$90.61	$90.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $139.16 / $533.16	Professional		$83.24	$139.16	$533.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.72 / $147.62 / $175.89	Professional		$110.72	$147.62	$175.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $89.65	Professional		$65.44	$89.65	$89.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.83 / $184.79 / $277.18	Professional		$147.83	$184.79	$277.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $44.64 / $138.87	Facility		$44.64	$44.64	$138.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $216.55	Professional		$65.44	$89.65	$216.55
United Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $69.14 / $104.15	Professional		$62.78	$69.14	$104.15