Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.93 / $112.93 / $112.93	Facility		$112.93	$112.93	$112.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $154.16 / $443.02	Professional		$92.22	$154.16	$443.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $163.53 / $194.85	Professional		$122.65	$163.53	$194.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $99.32	Professional		$72.50	$99.32	$99.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.76 / $204.71 / $307.06	Professional		$163.76	$204.71	$307.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $49.45 / $153.85	Facility		$49.45	$49.45	$153.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $179.93	Professional		$72.50	$99.32	$179.93
United Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $76.59 / $115.39	Professional		$70.81	$76.59	$115.39