Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $312.20 / $312.20	Facility		$41.92	$312.20	$312.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $55.82 / $76.28	Professional		$42.73	$55.82	$76.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.31 / $646.49 / $1,053.45	Facility		$176.31	$646.49	$1,053.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $51.63 / $88.98	Professional		$30.98	$51.63	$88.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $77.44 / $108.79	Professional		$56.91	$77.44	$108.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $78.11	Professional		$32.34	$32.34	$78.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $48.58 / $63.20	Facility		$40.72	$48.58	$63.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $80.02 / $119.41	Professional		$56.08	$80.02	$119.41
United Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $84.69 / $121.67	Professional		$66.22	$84.69	$121.67