Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $258.19 / $258.19	Facility		$75.34	$258.19	$258.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $121.78 / $540.00	Professional		$75.34	$121.78	$540.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.49 / $462.22 / $821.50	Facility		$137.49	$462.22	$821.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $68.28 / $150.13	Professional		$24.48	$68.28	$150.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.76 / $66.76 / $66.76	Facility		$66.76	$66.76	$66.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $133.63 / $188.54	Professional		$88.73	$133.63	$188.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.66 / $114.52	Professional		$32.34	$42.66	$114.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $117.77 / $150.22	Facility		$89.42	$117.77	$150.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $166.50 / $242.55	Professional		$89.42	$166.50	$242.55
United Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $108.81 / $216.82	Professional		$99.90	$108.81	$216.82