Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $89.15 / $89.15	Facility		$89.15	$89.15	$89.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.79 / $121.70 / $466.26	Professional		$72.79	$121.70	$466.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $129.10 / $153.82	Professional		$96.83	$129.10	$153.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $89.19 / $89.19	Professional		$65.11	$89.19	$89.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $236.73 / $355.09	Professional		$189.38	$236.73	$355.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $121.44	Facility		$39.04	$39.04	$121.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $89.19 / $157.81	Professional		$65.11	$89.19	$157.81
United Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $66.76 / $92.53	Professional		$55.91	$66.76	$92.53