Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $91.20	Professional		$57.54	$79.43	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $776.25 / $1,258.93	Facility		$354.81	$776.25	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $70.79	Professional		$44.67	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $147.91	Facility		$69.18	$81.28	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $645.65 / $645.65	Facility		$288.40	$645.65	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33