Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $90.79 / $116.54	Facility		$74.20	$90.79	$116.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $106.73 / $401.00	Professional		$74.20	$106.73	$401.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $427.87 / $743.46	Facility		$75.00	$427.87	$743.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $87.44 / $207.52	Professional		$64.98	$87.44	$207.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $132.21 / $180.41	Professional		$88.14	$132.21	$180.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $138.84	Professional		$32.34	$32.34	$138.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.42 / $130.11 / $175.85	Facility		$75.42	$130.11	$175.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $161.19 / $205.46	Professional		$106.41	$161.19	$205.46
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $140.22 / $210.52	Professional		$94.55	$140.22	$210.52