Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.81 / $289.00 / $336.00	Facility		$111.81	$289.00	$336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $40.99 / $239.65	Professional		$27.95	$40.99	$239.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $233.72 / $400.80	Facility		$67.08	$233.72	$400.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $30.49 / $35.03	Professional		$22.87	$30.49	$35.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $24.23 / $24.23	Facility		$24.23	$24.23	$24.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.49 / $62.98 / $87.22	Professional		$33.49	$62.98	$87.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $60.75 / $60.75	Professional		$57.77	$60.75	$60.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $48.24 / $54.60	Facility		$24.23	$48.24	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $49.38 / $74.65	Professional		$42.86	$49.38	$74.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $20.74 / $22.36	Professional		$15.65	$20.74	$22.36