Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $148.19 / $246.24	Facility		$61.98	$148.19	$246.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $71.68 / $81.55	Professional		$54.02	$71.68	$81.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $410.52 / $666.54	Facility		$111.56	$410.52	$666.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.03 / $50.70 / $58.26	Professional		$38.03	$50.70	$58.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Facility		$40.29	$40.29	$40.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $71.45 / $116.41	Professional		$38.96	$71.45	$116.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $34.09	Professional		$34.09	$34.09	$34.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $74.38 / $121.23	Facility		$53.26	$74.38	$121.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $61.98 / $95.10	Professional		$61.98	$61.98	$95.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $36.63 / $38.01	Professional		$26.03	$36.63	$38.01