Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $77.37 / $77.37	Facility		$77.37	$77.37	$77.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $118.82 / $442.04	Professional		$77.37	$118.82	$442.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $126.04 / $150.18	Professional		$94.53	$126.04	$150.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.06 / $99.06	Professional		$72.31	$99.06	$99.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.89 / $231.12 / $346.68	Professional		$184.89	$231.12	$346.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $45.17 / $118.60	Facility		$45.17	$45.17	$118.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $99.06 / $179.53	Professional		$72.31	$99.06	$179.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $69.95 / $105.39	Professional		$63.53	$69.95	$105.39