Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $55.91 / $106.22	Facility		$55.91	$55.91	$106.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $79.84 / $142.93	Professional		$45.79	$79.84	$142.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.85 / $280.33 / $469.62	Facility		$116.85	$280.33	$469.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $73.19 / $134.30	Professional		$43.15	$73.19	$134.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $91.84 / $157.83	Professional		$63.89	$91.84	$157.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $54.96 / $130.32	Professional		$24.84	$54.96	$130.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $84.93 / $117.40	Facility		$51.12	$84.93	$117.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $91.84 / $157.83	Professional		$57.61	$91.84	$157.83
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $129.99 / $200.87	Professional		$95.44	$129.99	$200.87