Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.66 / $69.17 / $92.23	Facility		$55.66	$69.17	$92.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $78.03 / $182.46	Professional		$58.42	$78.03	$182.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.52 / $617.21 / $1,036.78	Facility		$173.52	$617.21	$1,036.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $75.83 / $117.49	Professional		$66.84	$75.83	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.91 / $95.03 / $132.75	Professional		$64.91	$95.03	$132.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $124.81	Professional		$32.34	$32.34	$124.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $87.51 / $103.22	Facility		$65.08	$87.51	$103.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.22 / $108.43 / $200.58	Professional		$74.22	$108.43	$200.58
United Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $100.93 / $134.44	Professional		$72.65	$100.93	$134.44