Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $177.83	Professional		$67.61	$95.50	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $204.17	Professional		$128.82	$169.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $234.42	Professional		$72.44	$72.44	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $316.23	Professional		$169.82	$213.80	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $151.36 / $208.93	Facility		$51.29	$151.36	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $223.87	Professional		$72.44	$72.44	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $120.23 / $218.78	Facility		$61.66	$120.23	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $120.23	Professional		$74.13	$91.20	$120.23