Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $111.52 / $287.27	Facility		$53.10	$111.52	$287.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $77.00	Professional		$51.31	$51.31	$77.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $286.57 / $481.38	Facility		$80.56	$286.57	$481.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $41.97 / $48.23	Professional		$31.48	$41.97	$48.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $68.20 / $93.79	Professional		$48.68	$68.20	$93.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $64.45 / $83.64	Professional		$53.71	$64.45	$83.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $64.91 / $80.83	Professional		$54.13	$64.91	$80.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $51.31	Professional		$30.79	$30.79	$51.31