Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $85.71 / $224.25	Facility		$51.30	$85.71	$224.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $51.30 / $169.60	Professional		$33.19	$51.30	$169.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $433.36 / $852.22	Facility		$75.00	$433.36	$852.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $48.93 / $69.61	Professional		$12.33	$48.93	$69.61
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 $41.18 / $61.77 / $97.07	Professional		$41.18	$61.77	$97.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.00 / $104.99	Professional		$32.34	$75.00	$104.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.22 / $66.72 / $78.48	Facility		$60.22	$66.72	$78.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $61.77 / $97.07	Professional		$41.18	$61.77	$97.07
United Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $58.90 / $77.54	Professional		$51.63	$58.90	$77.54