Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.10 / $297.16 / $547.40	Facility		$120.10	$297.16	$547.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $109.99 / $589.37	Professional		$59.87	$109.99	$589.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.98 / $607.14 / $985.79	Facility		$164.98	$607.14	$985.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $74.98 / $86.16	Professional		$56.24	$74.98	$86.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $59.58 / $59.58	Facility		$59.58	$59.58	$59.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $82.17 / $115.51	Professional		$82.17	$82.17	$115.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $149.41 / $149.41	Professional		$142.07	$149.41	$149.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $82.88 / $142.59	Facility		$59.58	$82.88	$142.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $115.95 / $131.94	Professional		$105.41	$115.95	$131.94
United Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $91.66 / $91.66	Facility		$91.66	$91.66	$91.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $52.53 / $55.00	Professional		$38.50	$52.53	$55.00