Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $142.11 / $284.22	Facility		$71.06	$142.11	$284.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.06 / $113.69 / $609.17	Professional		$71.06	$113.69	$609.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.53 / $627.57 / $1,018.95	Facility		$170.53	$627.57	$1,018.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $84.96 / $115.92	Professional		$84.96	$84.96	$115.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $154.43 / $154.43	Professional		$146.85	$154.43	$154.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $126.20 / $142.82	Facility		$61.58	$126.20	$142.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $119.85 / $132.13	Professional		$108.95	$119.85	$132.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $52.61 / $56.84	Professional		$39.79	$52.61	$56.84