Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $132.30 / $264.60	Facility		$66.15	$132.30	$264.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $105.84 / $567.13	Professional		$66.15	$105.84	$567.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.76 / $553.14 / $948.59	Facility		$158.76	$553.14	$948.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $72.15 / $82.91	Professional		$54.11	$72.15	$82.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $57.33 / $57.33	Facility		$57.33	$57.33	$57.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $79.06 / $99.95	Professional		$79.06	$79.06	$99.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $136.71 / $143.77	Professional		$70.00	$136.71	$143.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.33 / $83.19 / $111.13	Facility		$57.33	$83.19	$111.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $106.72 / $122.60	Professional		$87.77	$106.72	$122.60
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $52.92	Professional		$37.04	$37.04	$52.92