Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.85 / $86.85 / $86.85	Facility		$86.85	$86.85	$86.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $118.55 / $559.99	Professional		$86.85	$118.55	$559.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $125.76 / $149.84	Professional		$94.32	$125.76	$149.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $97.54	Facility		$97.54	$97.54	$97.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $97.54	Professional		$71.20	$97.54	$97.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $157.43 / $236.14	Professional		$125.94	$157.43	$236.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $46.88 / $118.30	Facility		$46.88	$46.88	$118.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $185.52	Professional		$71.20	$97.54	$185.52
United Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $83.13 / $111.90	Professional		$67.14	$83.13	$111.90