Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.00 / $178.60 / $357.20	Facility		$147.00	$178.60	$357.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $37.34 / $506.49	Professional		$33.14	$37.34	$506.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.80 / $494.03 / $847.23	Facility		$141.80	$494.03	$847.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $64.43 / $74.04	Professional		$41.88	$64.43	$74.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $51.20 / $51.20	Facility		$51.20	$51.20	$51.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $53.27 / $113.58	Professional		$17.92	$53.27	$113.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Professional		$43.32	$43.32	$43.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $51.20 / $86.65	Facility		$39.39	$51.20	$86.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $73.17 / $78.77	Professional		$30.15	$73.17	$78.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $17.39 / $47.26	Professional		$16.38	$17.39	$47.26