Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $112.29 / $224.58	Facility		$56.15	$112.29	$224.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $83.81 / $102.80	Professional		$39.68	$83.81	$102.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $495.86 / $805.10	Facility		$134.75	$495.86	$805.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $61.24 / $70.37	Professional		$45.93	$61.24	$70.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $48.66 / $48.66	Facility		$48.66	$48.66	$48.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $105.46 / $140.58	Professional		$44.41	$105.46	$140.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $41.17 / $41.17	Professional		$41.17	$41.17	$41.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.99 / $71.12 / $89.83	Facility		$59.99	$71.12	$89.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $74.86 / $105.46	Professional		$74.86	$74.86	$105.46
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $42.83 / $44.92	Professional		$31.44	$42.83	$44.92