Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $158.49	Facility		$58.88	$85.11	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $75.86	Professional		$53.70	$56.23	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $549.54	Facility		$151.36	$338.84	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $87.10	Professional		$54.95	$64.57	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $109.65	Facility		$54.95	$66.07	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Professional		$54.95	$54.95	$56.23