Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $136.22 / $171.31	Professional		$134.88	$136.22	$171.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $132.88 / $161.78	Professional		$121.34	$132.88	$161.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $144.44 / $222.46	Professional		$144.44	$144.44	$222.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $148.37	Facility		$134.88	$134.88	$148.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $174.99	Professional		$134.88	$134.88	$174.99
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88