Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.29 / $312.29 / $312.29	Facility		$312.29	$312.29	$312.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $37.13 / $45.85	Professional		$29.33	$37.13	$45.85
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.41 / $17.71 / $22.29	Professional	52	$14.41	$17.71	$22.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.05 / $590.42 / $616.16	Facility		$501.05	$590.42	$616.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $29.43 / $34.69	Professional		$20.81	$29.43	$34.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $57.24 / $57.24	Facility		$57.24	$57.24	$57.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $45.40 / $65.98	Professional		$29.50	$45.40	$65.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $46.42 / $77.37	Professional		$30.95	$46.42	$77.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $43.97 / $59.45	Facility		$30.42	$43.97	$59.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $48.04 / $66.51	Professional		$30.10	$48.04	$66.51
United Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $54.05 / $86.91	Professional		$38.88	$54.05	$86.91