Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $106.85 / $213.69	Facility		$53.42	$106.85	$213.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $85.48 / $458.01	Professional		$53.42	$85.48	$458.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.84 / $391.78 / $638.40	Facility		$106.84	$391.78	$638.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $46.30 / $46.30	Facility		$46.30	$46.30	$46.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $81.77 / $102.22	Professional		$32.88	$81.77	$102.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $39.18 / $39.18	Professional		$39.18	$39.18	$39.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $73.12 / $102.37	Facility		$46.61	$73.12	$102.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.60 / $71.23 / $98.16	Professional		$55.60	$71.23	$98.16
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $31.13 / $42.74	Professional		$29.92	$31.13	$42.74