Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $101.04 / $202.08	Facility		$50.52	$101.04	$202.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $80.83 / $433.13	Professional		$50.52	$80.83	$433.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.25 / $446.18 / $724.44	Facility		$121.25	$446.18	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $55.10 / $63.32	Professional		$41.33	$55.10	$63.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $43.78 / $43.78	Facility		$43.78	$43.78	$43.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $77.23 / $126.77	Professional		$42.38	$77.23	$126.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $37.04	Professional		$37.04	$37.04	$37.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $80.83 / $127.39	Facility		$35.70	$80.83	$127.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $67.36 / $126.77	Professional		$67.36	$67.36	$126.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.42 / $41.31	Professional		$28.29	$40.42	$41.31