Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $524.81	Facility		$194.98	$213.80	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $77.62	Professional		$42.66	$56.23	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $446.68 / $691.83	Facility		$194.98	$446.68	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $60.26	Professional		$33.88	$39.81	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $120.23	Professional		$40.74	$74.13	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $112.20	Facility		$41.69	$70.79	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $97.72 / $141.25	Professional		$40.74	$97.72	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $57.54 / $57.54	Facility		$47.86	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.02 / $39.81	Professional		$26.92	$38.02	$39.81