Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $82.61 / $82.61	Facility		$82.61	$82.61	$82.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $112.76 / $528.62	Professional		$82.61	$112.76	$528.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $119.62 / $142.53	Professional		$89.72	$119.62	$142.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $90.07	Facility		$90.07	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $90.07	Professional		$65.75	$90.07	$90.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $149.75 / $224.62	Professional		$119.80	$149.75	$224.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $46.42 / $112.54	Facility		$46.42	$46.42	$112.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $90.07 / $168.91	Professional		$65.75	$90.07	$168.91
United Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $71.91 / $108.32	Professional		$66.48	$71.91	$108.32