Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $128.49 / $146.56	Facility		$82.58	$128.49	$146.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $94.10 / $209.52	Professional		$80.14	$94.10	$209.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.61 / $636.24 / $1,091.08	Facility		$182.61	$636.24	$1,091.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $76.83 / $97.20	Professional		$76.83	$76.83	$97.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Facility		$82.57	$82.57	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.99 / $123.99 / $123.99	Professional		$123.99	$123.99	$123.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $90.05 / $101.30	Facility		$82.57	$90.05	$101.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $82.58	Professional		$82.58	$82.58	$82.58