Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $94.35 / $192.57	Facility		$48.14	$94.35	$192.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $77.03 / $412.74	Professional		$48.14	$77.03	$412.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.55 / $402.57 / $690.38	Facility		$115.55	$402.57	$690.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $52.51 / $60.34	Professional		$30.23	$52.51	$60.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $41.72 / $41.72	Facility		$41.72	$41.72	$41.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.93 / $73.51 / $91.89	Professional		$24.93	$73.51	$91.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $35.29 / $35.29	Professional		$35.29	$35.29	$35.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $60.98 / $77.03	Facility		$32.10	$60.98	$77.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $64.19 / $64.19	Professional		$23.35	$64.19	$64.19
United Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $22.85 / $38.51	Professional		$22.85	$22.85	$38.51