Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $112.20 / $234.42	Facility		$87.10	$112.20	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $70.79 / $489.78	Professional		$44.67	$70.79	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $478.63 / $794.33	Facility		$190.55	$478.63	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $69.18	Professional		$44.67	$60.26	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $218.78	Facility		$47.86	$95.50	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $104.71	Professional		$66.07	$87.10	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $43.65	Professional		$30.90	$34.67	$43.65