Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $263.03 / $269.15	Facility		$123.03	$263.03	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $97.72	Professional		$57.54	$75.86	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $467.74 / $741.31	Facility		$204.17	$467.74	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $77.62	Professional		$43.65	$50.12	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $128.82	Professional		$43.65	$104.71	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $77.62 / $97.72	Facility		$40.74	$77.62	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $147.91	Professional		$43.65	$104.71	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $74.13 / $74.13	Facility		$50.12	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $48.98	Professional		$34.67	$39.81	$48.98