Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $89.93 / $108.46	Facility		$69.22	$89.93	$108.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $82.36 / $127.58	Professional		$56.77	$82.36	$127.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $397.95 / $743.46	Facility		$75.00	$397.95	$743.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $65.58 / $79.36	Professional		$47.17	$65.58	$79.36
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 $75.06 / $109.17 / $162.52	Professional		$75.06	$109.17	$162.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.34 / $130.38	Professional		$32.34	$72.34	$130.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $82.36 / $130.11	Facility		$65.25	$82.36	$130.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $109.76 / $158.13	Professional		$75.06	$109.76	$158.13
United Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $123.50 / $180.90	Professional		$89.14	$123.50	$180.90