Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $218.78 / $524.81	Facility		$107.15	$218.78	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $79.43	Professional		$44.67	$61.66	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $446.68 / $724.44	Facility		$173.78	$446.68	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $63.10	Professional		$41.69	$54.95	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $125.89	Professional		$42.66	$77.62	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $114.82	Facility		$60.26	$81.28	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $102.33 / $165.96	Professional		$42.66	$102.33	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $60.26	Facility		$50.12	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $41.69	Professional		$28.18	$39.81	$41.69