Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $143.28 / $286.56	Facility		$71.64	$143.28	$286.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $114.62 / $614.19	Professional		$71.64	$114.62	$614.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $527.27 / $856.10	Facility		$143.28	$527.27	$856.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.79 / $78.14 / $89.79	Professional		$50.79	$78.14	$89.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $62.09 / $62.09	Facility		$62.09	$62.09	$62.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $120.63 / $151.44	Professional		$50.80	$120.63	$151.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $52.54	Professional		$52.54	$52.54	$52.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $90.74 / $114.62	Facility		$47.76	$90.74	$114.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $95.52 / $120.63	Professional		$90.18	$95.52	$120.63
United Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $58.71 / $64.00	Facility		$58.71	$58.71	$64.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $46.62 / $57.31	Professional		$40.11	$46.62	$57.31