Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $114.42 / $114.42	Facility		$71.52	$114.42	$114.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $74.40 / $171.22	Professional		$71.52	$74.40	$171.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.81 / $490.67 / $799.54	Facility		$133.81	$490.67	$799.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $72.51 / $97.89	Professional		$72.51	$72.51	$97.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Facility		$71.52	$71.52	$71.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $90.85 / $90.85	Professional		$90.85	$90.85	$90.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $85.13 / $123.82	Facility		$71.52	$85.13	$123.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52