Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $70.33 / $70.33	Facility		$70.33	$70.33	$70.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $96.01 / $357.13	Professional		$68.06	$96.01	$357.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $101.85 / $121.35	Professional		$76.39	$101.85	$121.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $100.70	Facility		$100.70	$100.70	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $85.60 / $155.82	Professional		$85.60	$85.60	$155.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $127.50 / $191.25	Professional		$102.00	$127.50	$191.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $36.50 / $100.70	Facility		$36.50	$36.50	$100.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $100.70 / $148.54	Professional		$85.60	$100.70	$148.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $64.70 / $86.50	Professional		$52.27	$64.70	$86.50