Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.52 / $364.80 / $364.80	Facility		$128.52	$364.80	$364.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $51.41 / $275.45	Professional		$32.13	$51.41	$275.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.11 / $283.77 / $460.76	Facility		$77.11	$283.77	$460.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $35.04 / $40.27	Professional		$26.28	$35.04	$40.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Facility		$27.85	$27.85	$27.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $65.48 / $106.33	Professional		$38.45	$65.48	$106.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $69.83 / $69.83	Professional		$66.40	$69.83	$69.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $65.84 / $83.79	Facility		$58.88	$65.84	$83.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $59.55 / $93.24	Professional		$49.27	$59.55	$93.24
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.14 / $26.27	Professional		$17.98	$25.14	$26.27