Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $146.78 / $427.13	Facility		$94.45	$146.78	$427.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $95.39 / $228.33	Professional		$94.45	$95.39	$228.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.66 / $357.68 / $613.39	Facility		$102.66	$357.68	$613.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $118.22	Professional		$87.57	$87.57	$118.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Facility		$94.45	$94.45	$94.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $69.70 / $69.70	Professional		$69.70	$69.70	$69.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $40.52 / $94.45	Facility		$32.53	$40.52	$94.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
United Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45