Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $79.23 / $79.23	Facility		$79.23	$79.23	$79.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $108.17 / $475.08	Professional		$75.19	$108.17	$475.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $114.74 / $136.72	Professional		$86.06	$114.74	$136.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $176.89	Professional		$72.45	$72.45	$176.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $143.63 / $215.46	Professional		$114.91	$143.63	$215.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $40.32 / $107.95	Facility		$40.32	$40.32	$107.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $99.25 / $175.86	Professional		$72.45	$99.25	$175.86
United Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $82.54 / $82.54	Facility		$82.54	$82.54	$82.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $62.46 / $94.11	Professional		$57.75	$62.46	$94.11