Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $186.96 / $278.80	Facility		$114.00	$186.96	$278.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $55.61 / $62.65	Professional		$37.68	$55.61	$62.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $315.52 / $512.29	Facility		$85.74	$315.52	$512.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $38.96 / $44.80	Professional		$29.22	$38.96	$44.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $30.96 / $30.96	Facility		$30.96	$30.96	$30.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $54.52 / $96.19	Professional		$30.70	$54.52	$96.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $26.20 / $26.20	Professional		$26.20	$26.20	$26.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $57.16 / $94.23	Facility		$38.79	$57.16	$94.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $47.63 / $96.19	Professional		$47.63	$47.63	$96.19
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.34 / $29.21	Professional		$20.00	$28.34	$29.21