Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $263.03	Facility		$120.23	$257.04	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $95.50	Professional		$52.48	$64.57	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $426.58 / $724.44	Facility		$120.23	$426.58	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $13.18 / $114.82	Professional		$5.50	$13.18	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.14 / $89.13	Facility		$10.96	$15.14	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.22 / $72.44	Professional		$9.12	$16.22	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $72.44 / $72.44	Facility		$6.31	$72.44	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.25 / $47.86	Professional		$5.01	$5.25	$47.86