Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $208.93 / $2,137.96	Facility		$85.11	$208.93	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $436.52	Professional		$52.48	$77.62	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $630.96	Facility		$173.78	$407.38	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $66.07	Professional		$42.66	$57.54	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $123.03	Professional		$63.10	$89.13	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $151.36	Professional		$60.26	$60.26	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $109.65 / $208.93	Facility		$46.77	$109.65	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $123.03	Professional		$61.66	$93.33	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $41.69	Professional		$29.51	$36.31	$41.69