Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $83.39 / $102.49	Professional		$67.78	$83.39	$102.49
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 $46.44 / $68.80 / $121.98	Professional		$46.44	$68.80	$121.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $119.26 / $119.26	Facility		$119.26	$119.26	$119.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $95.43 / $142.44	Professional		$65.80	$95.43	$142.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $73.15 / $130.86	Professional		$32.34	$73.15	$130.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $95.93 / $116.54	Facility		$68.23	$95.93	$116.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $106.70 / $152.16	Professional		$70.19	$106.70	$152.16
United Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $108.00 / $153.60	Professional		$78.53	$108.00	$153.60