Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.84 / $158.84 / $209.76	Facility		$158.84	$158.84	$209.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $51.41 / $72.56	Professional		$16.57	$51.41	$72.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $264.77 / $470.17	Facility		$123.09	$264.77	$470.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $50.54 / $86.64	Professional		$13.33	$50.54	$86.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $49.83 / $106.78	Professional		$21.82	$49.83	$106.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $49.54 / $79.98	Facility		$16.98	$49.54	$79.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $66.77 / $133.38	Professional		$22.60	$66.77	$133.38
United Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $101.23 / $137.53	Professional		$75.81	$101.23	$137.53