Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $114.06 / $171.47	Facility		$75.91	$114.06	$171.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $76.65 / $104.24	Professional		$75.90	$76.65	$104.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $211.32 / $344.34	Facility		$57.63	$211.32	$344.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $65.00 / $86.28	Professional		$64.70	$65.00	$86.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Facility		$75.91	$75.91	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.13 / $39.13	Professional		$39.13	$39.13	$39.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $38.69 / $75.91	Facility		$37.51	$38.69	$75.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91