Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $117.98 / $235.95	Facility		$58.99	$117.98	$235.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.99 / $94.38 / $505.72	Professional		$58.99	$94.38	$505.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $411.04 / $704.90	Facility		$117.98	$411.04	$704.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Facility		$51.12	$51.12	$51.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $74.48 / $113.06	Professional		$24.93	$74.48	$113.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Professional		$43.26	$43.26	$43.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.01 / $69.11 / $86.52	Facility		$34.01	$69.11	$86.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $78.65 / $78.65	Professional		$42.04	$78.65	$78.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $24.26 / $47.19	Professional		$22.85	$24.26	$47.19