Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $169.82 / $169.82	Facility		$50.90	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $62.11 / $92.60	Professional		$38.33	$62.11	$92.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.33 / $163.33 / $163.33	Facility		$163.33	$163.33	$163.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $57.01 / $105.43	Professional		$39.93	$57.01	$105.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $86.07 / $140.80	Professional		$50.81	$86.07	$140.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.82	Professional		$32.34	$32.34	$119.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $62.11 / $92.60	Facility		$38.25	$62.11	$92.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $83.97 / $140.06	Professional		$48.70	$83.97	$140.06
United Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $115.77 / $179.32	Professional		$81.72	$115.77	$179.32