Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $83.97 / $83.97	Facility		$83.97	$83.97	$83.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $114.63 / $426.46	Professional		$81.23	$114.63	$426.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $121.60 / $144.88	Professional		$91.20	$121.60	$144.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $98.15 / $98.15	Professional		$71.65	$98.15	$98.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.78 / $152.22 / $228.34	Professional		$121.78	$152.22	$228.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $43.56 / $114.39	Facility		$43.56	$43.56	$114.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $98.15 / $173.22	Professional		$71.65	$98.15	$173.22
United Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $67.48 / $103.26	Professional		$62.39	$67.48	$103.26