Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $108.88 / $17,044.25	Facility		$108.88	$108.88	$17,044.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.08 / $98.01	Professional		$71.37	$72.08	$98.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.43 / $257.68 / $419.89	Facility		$101.43	$257.68	$419.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $60.77 / $111.17	Professional		$60.77	$60.77	$111.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $85.00	Facility		$71.37	$71.37	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $67.63 / $110.24	Professional		$65.31	$67.63	$110.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $93.07	Facility		$71.37	$71.37	$93.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $81.65	Professional		$71.37	$71.37	$81.65
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $75.65	Professional		$71.37	$71.37	$75.65