Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $154.88 / $158.49	Facility		$72.44	$154.88	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $316.23	Professional		$33.11	$44.67	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $436.52	Facility		$120.23	$257.04	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $45.71	Professional		$29.51	$39.81	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $74.13	Professional		$42.66	$54.95	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $104.71	Professional		$74.13	$74.13	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $63.10 / $109.65	Facility		$32.36	$63.10	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $75.86	Professional		$37.15	$58.88	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $28.84	Professional		$20.42	$20.42	$28.84