Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $71.40 / $89.78	Professional		$70.70	$71.40	$89.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $83.77 / $179.51	Professional		$62.83	$83.77	$179.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $86.08 / $122.98	Professional		$60.00	$86.08	$122.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $89.78	Facility		$70.70	$70.70	$89.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $119.28	Professional		$70.70	$70.70	$119.28
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70