Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $114.82	Professional		$95.50	$100.00	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $177.83 / $288.40	Facility		$81.28	$177.83	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $60.26 / $70.79	Professional		$21.88	$60.26	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $257.04	Facility		$97.72	$120.23	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $144.54	Professional		$125.89	$125.89	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $125.89	Professional		$109.65	$109.65	$125.89