Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $208.93 / $213.80	Facility		$97.72	$208.93	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $107.15	Professional		$44.67	$60.26	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $371.54 / $575.44	Facility		$162.18	$371.54	$575.44
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 $54.95 / $77.62 / $112.20	Facility		$54.95	$77.62	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $97.72 / $158.49	Professional		$40.74	$97.72	$158.49
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