Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $78.56 / $78.56	Facility		$78.56	$78.56	$78.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $120.64 / $448.78	Professional		$78.56	$120.64	$448.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $127.97 / $152.47	Professional		$95.98	$127.97	$152.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $88.96 / $88.96	Professional		$64.94	$88.96	$88.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $160.19 / $240.28	Professional		$128.15	$160.19	$240.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.85 / $45.85 / $120.38	Facility		$45.85	$45.85	$120.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $88.96 / $182.28	Professional		$64.94	$88.96	$182.28
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $71.02 / $106.98	Professional		$64.48	$71.02	$106.98