Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $85.74 / $85.74	Facility		$85.74	$85.74	$85.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $117.04 / $435.45	Professional		$82.96	$117.04	$435.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.12 / $124.16 / $147.93	Professional		$93.12	$124.16	$147.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $100.03 / $100.03	Professional		$73.02	$100.03	$100.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.13 / $227.67 / $341.50	Professional		$182.13	$227.67	$341.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $44.49 / $116.81	Facility		$44.49	$44.49	$116.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $100.03 / $176.86	Professional		$73.02	$100.03	$176.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $75.29 / $105.46	Professional		$63.71	$75.29	$105.46