Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $107.15	Professional		$52.48	$64.57	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $676.08	Professional		$446.68	$602.56	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $288.40	Professional		$102.33	$102.33	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $151.36	Professional		$50.12	$70.79	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $109.65 / $218.78	Facility		$56.23	$109.65	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $138.04	Professional		$102.33	$102.33	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $74.13 / $85.11	Facility		$57.54	$74.13	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $138.04	Professional		$67.61	$74.13	$138.04