Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $181.97 / $186.21	Facility		$69.18	$181.97	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $120.23	Professional		$38.02	$52.48	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $302.00 / $512.86	Facility		$85.11	$302.00	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $57.54	Professional		$34.67	$46.77	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $64.57	Professional		$51.29	$51.29	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $123.03	Professional		$60.26	$70.79	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $87.10 / $169.82	Facility		$38.02	$87.10	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $81.28	Professional		$51.29	$75.86	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $33.88	Professional		$23.99	$23.99	$33.88