Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.14 / $85.14 / $85.14	Facility		$85.14	$85.14	$85.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $130.75 / $486.36	Professional		$85.14	$130.75	$486.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.03 / $138.71 / $165.27	Professional		$104.03	$138.71	$165.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $116.46 / $116.46	Professional		$85.02	$116.46	$116.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $173.64 / $260.45	Professional		$138.91	$173.64	$260.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $49.69 / $130.47	Facility		$49.69	$49.69	$130.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $116.46 / $197.53	Professional		$85.02	$116.46	$197.53
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $76.97 / $115.94	Professional		$69.89	$76.97	$115.94