Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Facility		$72.73	$72.73	$72.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $111.71 / $415.60	Professional		$72.73	$111.71	$415.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.09 / $729.11 / $1,290.78	Facility		$215.09	$729.11	$1,290.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $118.50 / $141.19	Professional		$88.88	$118.50	$141.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $83.71 / $153.00	Professional		$61.11	$83.71	$153.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $148.34 / $222.51	Professional		$118.67	$148.34	$222.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $83.71	Facility		$75.00	$75.00	$83.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $83.71 / $173.83	Professional		$61.11	$83.71	$173.83
United Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $65.33 / $67.22	Facility		$51.71	$65.33	$67.22
United Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $65.92 / $103.42	Professional		$62.05	$65.92	$103.42