Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $120.69 / $241.38	Facility		$60.35	$120.69	$241.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $96.55 / $517.36	Professional		$60.35	$96.55	$517.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.67 / $420.50 / $721.12	Facility		$116.67	$420.50	$721.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.30 / $52.30 / $52.30	Facility		$52.30	$52.30	$52.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $16.28 / $115.64	Professional		$5.45	$16.28	$115.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $44.25 / $44.25	Professional		$44.25	$44.25	$44.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.67 / $16.84 / $88.51	Facility		$7.67	$16.84	$88.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $22.21 / $80.45	Professional		$9.15	$22.21	$80.45
United Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $5.28 / $48.28	Professional		$4.97	$5.28	$48.28