Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $102.04 / $128.31	Professional		$101.03	$102.04	$128.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.45 / $512.21 / $889.99	Facility		$221.45	$512.21	$889.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $116.20 / $116.20	Professional		$87.15	$116.20	$116.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $171.90 / $197.56	Professional		$131.71	$171.90	$197.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $111.13	Facility		$101.03	$101.03	$111.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $131.69	Professional		$101.03	$101.03	$131.69
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03