Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $122.83 / $245.64	Facility		$61.41	$122.83	$245.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $98.26 / $526.49	Professional		$61.41	$98.26	$526.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $451.98 / $733.85	Facility		$122.82	$451.98	$733.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.23 / $66.98 / $76.97	Professional		$50.23	$66.98	$76.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $53.22 / $53.22	Facility		$53.22	$53.22	$53.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $103.61 / $130.22	Professional		$43.63	$103.61	$130.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $45.03 / $45.03	Professional		$45.03	$45.03	$45.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $77.79 / $98.26	Facility		$40.94	$77.79	$98.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $81.88 / $103.61	Professional		$77.30	$81.88	$103.61
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $39.95 / $49.13	Professional		$34.39	$39.95	$49.13