Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $111.72 / $197.07	Facility		$78.81	$111.72	$197.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $78.83 / $422.39	Professional		$49.27	$78.83	$422.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.25 / $420.60 / $706.51	Facility		$118.25	$420.60	$706.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $53.73 / $61.75	Professional		$40.29	$53.73	$61.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $42.70 / $42.70	Facility		$42.70	$42.70	$42.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $58.91 / $74.55	Professional		$58.91	$58.91	$74.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.82 / $107.07 / $107.07	Professional		$101.82	$107.07	$107.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $42.70 / $82.77	Facility		$41.41	$42.70	$82.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $79.48 / $91.31	Professional		$70.81	$79.48	$91.31
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $28.19 / $39.40	Professional		$27.59	$28.19	$39.40