Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $70.22 / $70.22	Facility		$70.22	$70.22	$70.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $68.17 / $75.00	Professional		$54.22	$68.17	$75.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.62 / $797.11 / $1,385.02	Facility		$344.62	$797.11	$1,385.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $94.83 / $95.08	Professional		$71.31	$94.83	$95.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $159.16 / $222.83	Professional		$142.84	$159.16	$222.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.52 / $89.45 / $119.03	Facility		$51.52	$89.45	$119.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $171.64	Professional		$47.79	$47.79	$171.64
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $50.47 / $76.03	Professional		$46.67	$50.47	$76.03