Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.36 / $132.24 / $235.88	Facility		$82.36	$132.24	$235.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $73.95 / $149.78	Professional		$49.53	$73.95	$149.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $390.68 / $636.61	Facility		$106.55	$390.68	$636.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $76.65 / $120.29	Professional		$45.99	$76.65	$120.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $92.67 / $144.16	Professional		$59.79	$92.67	$144.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $32.34 / $118.97	Professional		$23.79	$32.34	$118.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $79.70 / $118.31	Facility		$40.20	$79.70	$118.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $97.15 / $157.84	Professional		$62.46	$97.15	$157.84
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $125.50 / $187.12	Professional		$90.73	$125.50	$187.12