Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $118.90 / $123.13	Facility		$23.78	$118.90	$123.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $161.19 / $333.92	Professional		$113.09	$161.19	$333.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $180.57 / $240.52 / $1,162.00	Professional	25	$180.57	$240.52	$1,162.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.46 / $383.03 / $624.15	Facility		$104.46	$383.03	$624.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.74 / $137.07 / $199.28	Professional		$90.74	$137.07	$199.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $203.75 / $300.24	Professional		$141.38	$203.75	$300.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $210.13	Professional		$32.34	$32.34	$210.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $158.62 / $200.64	Facility		$112.03	$158.62	$200.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $191.27 / $296.69	Professional		$126.86	$191.27	$296.69
United Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $255.46 / $365.96	Professional		$201.20	$255.46	$365.96