Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $117.31 / $117.31	Facility		$117.31	$117.31	$117.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $160.13 / $613.53	Professional		$95.79	$160.13	$613.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $169.87 / $202.40	Professional		$127.40	$169.87	$202.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $99.66	Facility		$99.66	$99.66	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $99.66 / $99.66	Professional		$72.75	$99.66	$99.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.11 / $212.64 / $318.95	Professional		$170.11	$212.64	$318.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $51.37 / $159.81	Facility		$51.37	$51.37	$159.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $99.66 / $219.35	Professional		$72.75	$99.66	$219.35
United Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $91.08 / $122.61	Professional		$73.56	$91.08	$122.61