Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $111.72 / $111.72	Facility		$96.13	$111.72	$111.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $88.04 / $471.77	Professional		$47.15	$88.04	$471.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.07 / $478.54 / $789.15	Facility		$132.07	$478.54	$789.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $60.02 / $68.97	Professional		$45.02	$60.02	$68.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $47.69 / $47.69	Facility		$47.69	$47.69	$47.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $65.73 / $83.15	Professional		$65.73	$65.73	$83.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $119.59 / $119.59	Professional		$113.72	$119.59	$119.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.69 / $78.39 / $95.05	Facility		$47.69	$78.39	$95.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $88.78 / $101.98	Professional		$84.38	$88.78	$101.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $35.02 / $44.02	Professional		$30.82	$35.02	$44.02