Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $94.86 / $94.86	Facility		$94.86	$94.86	$94.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $145.68 / $541.91	Professional		$75.13	$145.68	$541.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.91 / $154.54 / $184.14	Professional		$115.91	$154.54	$184.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $107.42 / $107.42	Facility		$107.42	$107.42	$107.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $107.42	Professional		$78.42	$107.42	$107.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $193.46 / $290.19	Professional		$154.76	$193.46	$290.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $145.38	Facility		$55.36	$55.36	$145.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.42 / $107.42 / $220.10	Professional		$78.42	$107.42	$220.10
United Facility/Professional Facility Modifier Low / Median / High Price $66.08 / $85.00 / $85.76	Facility		$66.08	$85.00	$85.76
United Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $85.76 / $129.18	Professional		$77.87	$85.76	$129.18