Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $90.30 / $113.55	Professional		$89.41	$90.30	$113.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $109.80 / $225.00	Professional		$82.35	$109.80	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $92.03 / $225.00	Professional		$60.00	$92.03	$225.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $113.55	Facility		$89.41	$89.41	$113.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $121.21	Professional		$89.41	$89.41	$121.21
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41