Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $125.17 / $143.29	Facility		$74.48	$125.17	$143.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $74.48 / $289.00	Professional		$50.62	$74.48	$289.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $660.08 / $1,233.18	Facility		$75.00	$660.08	$1,233.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $70.81 / $100.73	Professional		$22.77	$70.81	$100.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $91.06 / $143.30	Professional		$60.71	$91.06	$143.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.00 / $153.09	Professional		$32.34	$75.00	$153.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $87.58 / $114.63	Facility		$65.00	$87.58	$114.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $91.06 / $143.30	Professional		$60.71	$91.06	$143.30
United Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $87.70 / $125.40	Professional		$77.47	$87.70	$125.40