Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $111.18 / $375.70	Facility		$87.96	$111.18	$375.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $86.46 / $117.57	Professional		$66.20	$86.46	$117.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.80 / $260.80 / $260.80	Facility		$260.80	$260.80	$260.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $66.66 / $88.96	Professional		$51.82	$66.66	$88.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $98.00 / $146.96	Professional		$65.00	$98.00	$146.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $119.28 / $145.78	Professional		$32.34	$119.28	$145.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $102.07 / $140.90	Facility		$73.56	$102.07	$140.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $98.00 / $148.75	Professional		$66.00	$98.00	$148.75
United Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $124.51 / $177.28	Professional		$88.53	$124.51	$177.28