Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $107.96 / $107.96	Facility		$107.96	$107.96	$107.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $147.37 / $548.26	Professional		$104.47	$147.37	$548.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $156.33 / $186.27	Professional		$117.25	$156.33	$186.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $67.73	Professional		$57.58	$67.73	$67.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $195.70 / $293.55	Professional		$156.56	$195.70	$293.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.03 / $56.03 / $147.05	Facility		$56.03	$56.03	$147.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $222.68	Professional		$57.58	$67.73	$222.68
United Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $99.34 / $132.80	Professional		$80.23	$99.34	$132.80