Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.70 / $99.70 / $99.70	Facility		$99.70	$99.70	$99.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $119.13 / $438.00	Professional		$108.29	$119.13	$438.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $999.34 / $1,769.28	Facility		$294.83	$999.34	$1,769.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $162.41 / $193.53	Professional		$121.82	$162.41	$193.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $112.67	Professional		$82.25	$112.67	$112.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $203.33 / $304.99	Professional		$162.66	$203.33	$304.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $58.07 / $152.79	Facility		$58.07	$58.07	$152.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $227.36	Professional		$82.25	$112.67	$227.36
United Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $89.95 / $135.50	Professional		$81.68	$89.95	$135.50