Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $95.50	Professional		$79.43	$83.18	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $537.03 / $645.65	Facility		$97.72	$537.03	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $100.00 / $208.93	Professional		$33.11	$100.00	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $190.55	Facility		$83.18	$100.00	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $138.04	Professional		$125.89	$125.89	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $138.04	Professional		$125.89	$138.04	$138.04