Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.99 / $99.99 / $101.96	Facility		$99.99	$99.99	$101.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $83.50 / $416.00	Professional		$62.74	$83.50	$416.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $326.48 / $559.89	Facility		$93.70	$326.48	$559.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $55.85 / $96.70	Professional		$33.34	$55.85	$96.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $98.53 / $137.29	Professional		$64.81	$98.53	$137.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.81 / $108.09	Professional		$32.34	$41.81	$108.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.37 / $95.53 / $192.21	Facility		$67.37	$95.53	$192.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $125.43 / $181.48	Professional		$67.81	$125.43	$181.48
United Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $92.13 / $157.62	Professional		$80.12	$92.13	$157.62