Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $141.25	Facility		$64.57	$138.04	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $281.84	Professional		$28.84	$40.74	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $295.12 / $457.09	Facility		$128.82	$295.12	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $39.81	Professional		$26.30	$34.67	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $91.20	Professional		$38.02	$66.07	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $109.65	Professional		$66.07	$66.07	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $74.13 / $125.89	Facility		$27.54	$74.13	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $93.33	Professional		$38.02	$61.66	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $26.30	Professional		$17.78	$25.12	$26.30