Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $275.42	Facility		$87.10	$125.89	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $147.91	Professional		$79.43	$81.28	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $295.12 / $478.63	Facility		$131.83	$295.12	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $114.82	Professional		$70.79	$70.79	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $117.49	Facility		$79.43	$95.50	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $114.82	Professional		$77.62	$81.28	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $79.43 / $114.82	Facility		$53.70	$79.43	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $95.50	Professional		$81.28	$81.28	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $85.11	Professional		$77.62	$79.43	$85.11