Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $316.23	Facility		$114.82	$144.54	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $245.47	Professional		$47.86	$83.18	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $741.31 / $1,230.27	Facility		$75.86	$741.31	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $109.65	Professional		$45.71	$70.79	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $89.13	Facility		$64.57	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $144.54	Professional		$60.26	$95.50	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $128.82	Facility		$58.88	$85.11	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $144.54	Professional		$61.66	$97.72	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $125.89	Professional		$77.62	$87.10	$125.89