Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Facility		$79.86	$79.86	$79.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $122.64 / $434.62	Professional		$79.86	$122.64	$434.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $130.10 / $155.02	Professional		$97.58	$130.10	$155.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $112.36	Facility		$112.36	$112.36	$112.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $112.36	Professional		$82.02	$112.36	$112.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $162.87 / $244.30	Professional		$130.29	$162.87	$244.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $43.54 / $122.40	Facility		$43.54	$43.54	$122.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $190.86	Professional		$82.02	$112.36	$190.86
United Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $67.45 / $101.60	Professional		$61.24	$67.45	$101.60