Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.65 / $79.65 / $160.97	Facility		$79.65	$79.65	$160.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $110.71 / $189.51	Professional		$79.65	$110.71	$189.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $496.38 / $851.26	Facility		$142.47	$496.38	$851.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $61.67 / $162.08	Professional		$29.75	$61.67	$162.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $68.62 / $68.62	Facility		$68.62	$68.62	$68.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $126.11 / $196.45	Professional		$88.01	$126.11	$196.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.34 / $121.92	Professional		$32.34	$41.34	$121.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $94.10 / $132.44	Facility		$82.22	$94.10	$132.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $164.05 / $237.54	Professional		$92.43	$164.05	$237.54
United Facility/Professional Facility Modifier Low / Median / High Price $235.69 / $235.69 / $235.69	Facility		$235.69	$235.69	$235.69
United Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $104.66 / $243.00	Professional		$92.33	$104.66	$243.00