Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $51.05 / $103.11	Facility		$51.05	$51.05	$103.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $82.49 / $82.49	Professional		$51.05	$82.49	$82.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.38 / $1,156.42 / $1,884.37	Facility		$315.38	$1,156.42	$1,884.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $44.12 / $44.12	Facility		$44.12	$44.12	$44.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $114.60 / $155.01	Professional		$62.69	$114.60	$155.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $32.34 / $81.50	Professional		$26.01	$32.34	$81.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $105.02 / $184.15	Facility		$54.71	$105.02	$184.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $129.32 / $181.97	Professional		$70.52	$129.32	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $525.30 / $525.30 / $525.30	Facility		$525.30	$525.30	$525.30
United Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $116.12 / $187.22	Professional		$82.18	$116.12	$187.22