Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $95.53 / $95.53	Facility		$95.53	$95.53	$95.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $99.69 / $580.50	Professional		$90.62	$99.69	$580.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $155.62 / $185.43	Professional		$116.72	$155.62	$185.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $97.79	Professional		$71.39	$97.79	$97.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.30 / $285.38 / $428.07	Professional		$228.30	$285.38	$428.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $48.60 / $146.41	Facility		$48.60	$48.60	$146.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $176.83	Professional		$71.39	$97.79	$176.83
United Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $74.61 / $81.20	Facility		$58.01	$74.61	$81.20
United Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $75.28 / $113.40	Professional		$68.34	$75.28	$113.40