Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $95.94 / $191.88	Facility		$47.97	$95.94	$191.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $76.75 / $411.26	Professional		$47.97	$76.75	$411.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.13 / $401.11 / $687.87	Facility		$115.13	$401.11	$687.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $52.32 / $60.12	Professional		$39.24	$52.32	$60.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $41.57 / $41.57	Facility		$41.57	$41.57	$41.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $57.36 / $72.50	Professional		$57.36	$57.36	$72.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $70.00 / $104.25	Professional		$60.00	$70.00	$104.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $80.59 / $95.93	Facility		$41.57	$80.59	$95.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $80.91 / $92.10	Professional		$73.55	$80.91	$92.10
United Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $63.96 / $63.96	Facility		$63.96	$63.96	$63.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $38.38	Professional		$26.86	$26.86	$38.38