Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $148.96 / $473.96	Facility		$62.14	$148.96	$473.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $66.23 / $74.62	Professional		$43.50	$66.23	$74.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $387.32 / $668.33	Facility		$111.85	$387.32	$668.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $50.83 / $58.45	Professional		$38.11	$50.83	$58.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $40.39 / $40.39	Facility		$40.39	$40.39	$40.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $71.45 / $109.51	Professional		$30.87	$71.45	$109.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $34.18	Professional		$34.18	$34.18	$34.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $59.03 / $74.56	Facility		$52.50	$59.03	$74.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $62.14 / $82.14	Professional		$34.59	$62.14	$82.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $33.52 / $37.28	Professional		$26.10	$33.52	$37.28