Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $194.98	Facility		$61.66	$87.10	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $74.13	Professional		$56.23	$56.23	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $251.19 / $407.38	Facility		$112.20	$251.19	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $67.61 / $81.28	Facility		$56.23	$67.61	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $117.49	Professional		$54.95	$54.95	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $57.54 / $93.33	Facility		$56.23	$57.54	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $67.61	Professional		$56.23	$56.23	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $58.88	Professional		$54.95	$56.23	$58.88