Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $186.21 / $190.55	Facility		$87.10	$186.21	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $123.03	Professional		$39.81	$53.70	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $331.13 / $524.81	Facility		$144.54	$331.13	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $83.18	Professional		$66.07	$66.07	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $89.13	Facility		$51.29	$69.18	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $147.91	Professional		$57.54	$83.18	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $52.48	Facility		$42.66	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $35.48	Professional		$24.55	$34.67	$35.48