Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $525.91 / $525.91	Facility		$98.01	$525.91	$525.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $78.41 / $420.14	Professional		$49.01	$78.41	$420.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $409.79 / $702.75	Facility		$117.61	$409.79	$702.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $53.45 / $61.42	Professional		$40.09	$53.45	$61.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $42.47 / $42.47	Facility		$42.47	$42.47	$42.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $74.14	Professional		$58.60	$58.60	$74.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $106.50 / $106.50	Professional		$101.28	$106.50	$106.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $82.33 / $92.92	Facility		$42.47	$82.33	$92.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.83 / $79.06 / $90.82	Professional		$62.83	$79.06	$90.82
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $39.20	Professional		$25.01	$25.01	$39.20