Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $88.18 / $88.18	Facility		$88.18	$88.18	$88.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $120.37 / $614.95	Professional		$88.18	$120.37	$614.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $785.69 / $1,390.93	Facility		$231.78	$785.69	$1,390.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $127.70 / $152.15	Professional		$95.78	$127.70	$152.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $113.25	Professional		$82.67	$113.25	$113.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $159.85 / $239.77	Professional		$127.88	$159.85	$239.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $51.48 / $120.13	Facility		$51.48	$51.48	$120.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $113.25 / $187.33	Professional		$82.67	$113.25	$187.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $79.75 / $122.89	Professional		$73.73	$79.75	$122.89