Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.68 / $214.83 / $578.10	Facility		$203.68	$214.83	$578.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $102.12 / $547.19	Professional		$63.83	$102.12	$547.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.18 / $533.70 / $915.25	Facility		$153.18	$533.70	$915.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $69.61 / $79.98	Professional		$52.21	$69.61	$79.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $55.32 / $55.32	Facility		$55.32	$55.32	$55.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $130.25 / $211.47	Professional		$66.06	$130.25	$211.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $138.71 / $138.71	Professional		$131.91	$138.71	$138.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.96 / $130.78 / $166.45	Facility		$116.96	$130.78	$166.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $112.76 / $185.42	Professional		$97.87	$112.76	$185.42
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $50.30 / $52.18	Professional		$35.74	$50.30	$52.18