Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $150.88 / $158.02	Facility		$86.51	$150.88	$158.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $77.06 / $118.00	Professional		$70.37	$77.06	$118.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.20 / $338.10 / $550.91	Facility		$92.20	$338.10	$550.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $82.99 / $84.46	Professional		$62.24	$82.99	$84.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $62.61 / $62.61	Professional		$62.61	$62.61	$62.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $72.16 / $80.88	Facility		$51.79	$72.16	$80.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
United Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $86.54 / $86.68	Professional		$81.62	$86.54	$86.68