Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $263.03	Facility		$83.18	$117.49	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $104.71	Professional		$75.86	$75.86	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $295.12 / $478.63	Facility		$134.90	$295.12	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $107.15	Professional		$67.61	$67.61	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $109.65	Facility		$75.86	$91.20	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $109.65	Professional		$60.26	$75.86	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $77.62 / $125.89	Facility		$75.86	$77.62	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.20	Professional		$75.86	$75.86	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $79.43	Professional		$74.13	$75.86	$79.43