Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $68.34 / $68.34	Facility		$68.34	$68.34	$68.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $93.30 / $423.83	Professional		$66.17	$93.30	$423.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $98.98 / $117.93	Professional		$74.23	$98.98	$117.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $152.24	Professional		$50.25	$50.25	$152.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $123.90 / $185.85	Professional		$99.12	$123.90	$185.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $93.10	Facility		$35.47	$35.47	$93.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $68.84 / $149.12	Professional		$50.25	$68.84	$149.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $54.96 / $84.70	Professional		$50.82	$54.96	$84.70