Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $264.33 / $309.39	Facility		$40.15	$264.33	$309.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $113.60 / $211.47	Professional		$45.47	$113.60	$211.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.49 / $697.32 / $1,136.27	Facility		$274.49	$697.32	$1,136.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $88.87 / $148.88	Professional		$31.61	$88.87	$148.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $71.19	Facility		$71.19	$71.19	$71.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $110.71 / $215.28	Professional		$50.78	$110.71	$215.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $177.88	Professional		$32.34	$32.34	$177.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $113.60 / $206.63	Facility		$43.50	$113.60	$206.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $130.59 / $284.85	Professional		$56.02	$130.59	$284.85
United Facility/Professional Facility Modifier Low / Median / High Price $415.85 / $921.49 / $921.49	Facility		$415.85	$921.49	$921.49
United Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $184.44 / $263.52	Professional		$128.05	$184.44	$263.52