Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $83.18 / $186.21	Facility		$57.54	$83.18	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $67.61	Professional		$52.48	$52.48	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $173.78 / $281.84	Facility		$79.43	$173.78	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $85.11	Professional		$46.77	$61.66	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $85.11	Facility		$53.70	$63.10	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $87.10	Professional		$50.12	$54.95	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $87.10	Facility		$51.29	$53.70	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Professional		$53.70	$53.70	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $56.23	Professional		$51.29	$53.70	$56.23