Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $116.68 / $233.34	Facility		$58.34	$116.68	$233.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $93.34 / $500.13	Professional		$49.63	$93.34	$500.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.78 / $406.49 / $697.10	Facility		$112.78	$406.49	$697.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $50.56 / $50.56	Facility		$50.56	$50.56	$50.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $71.03 / $111.51	Professional		$23.69	$71.03	$111.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Professional		$42.78	$42.78	$42.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $65.48 / $93.34	Facility		$33.60	$65.48	$93.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $77.78 / $77.78	Professional		$32.54	$77.78	$77.78
United Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $23.13 / $46.67	Professional		$21.78	$23.13	$46.67