Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $87.63 / $104.59	Facility		$73.53	$87.63	$104.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $74.61 / $99.49	Professional		$55.22	$74.61	$99.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.46 / $157.46 / $157.46	Facility		$157.46	$157.46	$157.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $54.62 / $77.84	Professional		$46.70	$54.62	$77.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $84.00 / $127.96	Professional		$55.00	$84.00	$127.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.15 / $119.44	Professional		$32.34	$65.15	$119.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $82.64 / $116.84	Facility		$60.78	$82.64	$116.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $84.00 / $128.72	Professional		$56.00	$84.00	$128.72
United Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $106.41 / $174.46	Professional		$72.78	$106.41	$174.46