Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $76.55 / $96.25	Professional		$75.79	$76.55	$96.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $73.56 / $98.08	Professional		$31.91	$73.56	$98.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $116.55 / $116.55	Professional		$71.50	$116.55	$116.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $96.25	Facility		$75.79	$75.79	$96.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $173.95	Professional		$75.79	$75.79	$173.95
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79