Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $208.93 / $1,023.29	Facility		$77.62	$208.93	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $269.15	Professional		$48.98	$69.18	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $426.58 / $707.95	Facility		$169.82	$426.58	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $61.66	Professional		$39.81	$53.70	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $83.18	Professional		$58.88	$58.88	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $169.82	Professional		$102.33	$102.33	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $102.33 / $194.98	Facility		$43.65	$102.33	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $93.33	Professional		$58.88	$87.10	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $38.90	Professional		$27.54	$37.15	$38.90