Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $426.58	Facility		$102.33	$144.54	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $177.83	Professional		$93.33	$97.72	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $371.54 / $616.60	Facility		$147.91	$371.54	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.81 / $190.55	Facility		$32.36	$39.81	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Professional		$91.20	$93.33	$93.33