Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $84.38 / $84.38	Facility		$84.38	$84.38	$84.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $109.01 / $142.74	Professional		$79.69	$109.01	$142.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $174.25 / $283.93	Facility		$47.52	$174.25	$283.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $72.72 / $100.94	Professional		$55.81	$72.72	$100.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $135.21 / $186.01	Professional		$97.53	$135.21	$186.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $157.19	Professional		$32.34	$32.34	$157.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.41 / $86.48 / $120.48	Facility		$52.41	$86.48	$120.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $135.21 / $186.01	Professional		$112.67	$135.21	$186.01
United Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $139.59 / $204.60	Professional		$95.87	$139.59	$204.60