Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $96.61 / $193.23	Facility		$48.31	$96.61	$193.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $77.29 / $414.16	Professional		$48.31	$77.29	$414.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $355.54 / $577.27	Facility		$96.61	$355.54	$577.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $52.69 / $60.55	Professional		$34.25	$52.69	$60.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $41.87 / $41.87	Facility		$41.87	$41.87	$41.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $73.93 / $120.85	Professional		$40.51	$73.93	$120.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $35.43 / $35.43	Professional		$35.43	$35.43	$35.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $77.29 / $125.99	Facility		$55.36	$77.29	$125.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $120.85	Professional		$64.41	$64.41	$120.85
United Facility/Professional Facility Modifier Low / Median / High Price $53.99 / $78.97 / $109.48	Facility		$53.99	$78.97	$109.48
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.32 / $39.50	Professional		$27.05	$38.32	$39.50