Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $59.70 / $59.70	Facility		$59.70	$59.70	$59.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $91.68 / $468.35	Professional		$59.70	$91.68	$468.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.52 / $598.36 / $1,059.32	Facility		$176.52	$598.36	$1,059.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $97.25 / $115.88	Professional		$72.94	$97.25	$115.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $77.09	Facility		$77.09	$77.09	$77.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $77.09	Professional		$56.28	$77.09	$77.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $121.74 / $182.61	Professional		$97.39	$121.74	$182.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $39.21 / $91.49	Facility		$39.21	$39.21	$91.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $142.66	Professional		$56.28	$77.09	$142.66
United Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $60.74 / $91.49	Professional		$55.15	$60.74	$91.49