Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $120.81 / $120.81	Facility		$120.81	$120.81	$120.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $70.06 / $95.26	Professional		$69.37	$70.06	$95.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $30.42 / $105.75	Professional		$29.53	$30.42	$105.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $95.37	Facility		$69.37	$69.37	$95.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $69.37	Professional		$69.37	$69.37	$69.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $97.17 / $125.96	Professional		$71.98	$97.17	$125.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $69.37 / $95.37	Facility		$64.73	$69.37	$95.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $89.98	Professional		$69.37	$69.37	$89.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $73.53	Professional		$69.37	$69.37	$73.53