Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $122.36 / $231.04	Facility		$38.15	$122.36	$231.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $48.32 / $69.84	Professional		$45.31	$48.32	$69.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $336.89 / $546.98	Facility		$91.55	$336.89	$546.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $41.60 / $47.81	Professional		$31.20	$41.60	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $33.06 / $33.06	Facility		$33.06	$33.06	$33.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $58.23 / $95.70	Professional		$31.94	$58.23	$95.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $61.03 / $99.47	Facility		$45.29	$61.03	$99.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $95.70	Professional		$50.86	$50.86	$95.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.25 / $31.18	Professional		$21.36	$30.25	$31.18