Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $210.60 / $321.70	Facility		$52.65	$210.60	$321.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $83.95 / $158.36	Professional		$81.19	$83.95	$158.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.36 / $449.46 / $755.00	Facility		$126.36	$449.46	$755.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $57.42 / $65.98	Professional		$43.07	$57.42	$65.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $45.63 / $45.63	Facility		$45.63	$45.63	$45.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $107.68 / $174.43	Professional		$56.70	$107.68	$174.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $114.43 / $114.43	Professional		$108.81	$114.43	$114.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.49 / $107.88 / $137.30	Facility		$96.49	$107.88	$137.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $97.58 / $152.94	Professional		$80.73	$97.58	$152.94
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $41.19 / $43.05	Professional		$29.48	$41.19	$43.05