Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $165.96 / $380.19	Facility		$134.90	$165.96	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $190.55	Professional		$61.66	$91.20	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $1,047.13	Facility		$257.04	$630.96	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $138.04	Professional		$79.43	$104.71	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $89.13	Facility		$64.57	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $181.97	Professional		$87.10	$125.89	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $177.83	Facility		$67.61	$107.15	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $177.83	Professional		$97.72	$125.89	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $177.83	Professional		$97.72	$131.83	$177.83