Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $153.38 / $306.77	Facility		$76.70	$153.38	$306.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $122.71 / $657.53	Professional		$76.70	$122.71	$657.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $677.41 / $1,150.61	Facility		$184.08	$677.41	$1,150.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.74 / $83.65 / $96.12	Professional		$62.74	$83.65	$96.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $66.47 / $66.47	Facility		$66.47	$66.47	$66.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $91.47 / $115.92	Professional		$91.47	$91.47	$115.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $158.50 / $166.68	Professional		$70.00	$158.50	$166.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $128.85 / $163.98	Facility		$66.47	$128.85	$163.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $129.36 / $147.25	Professional		$117.60	$129.36	$147.25
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $61.36	Professional		$42.95	$42.95	$61.36