Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $64.81 / $64.81	Facility		$64.81	$64.81	$64.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $99.53 / $452.07	Professional		$64.81	$99.53	$452.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $105.58 / $125.80	Professional		$79.19	$105.58	$125.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $73.42 / $73.43	Professional		$53.60	$73.42	$73.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $132.16 / $198.25	Professional		$105.73	$132.16	$198.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $37.85 / $99.33	Facility		$37.85	$37.85	$99.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $73.43 / $164.04	Professional		$53.60	$73.43	$164.04
United Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $58.63 / $88.31	Professional		$53.23	$58.63	$88.31