Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $42.44 / $42.44	Facility		$42.44	$42.44	$42.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $64.91 / $399.64	Professional		$42.44	$64.91	$399.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $512.30 / $890.16	Facility		$148.33	$512.30	$890.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $55.79 / $77.92	Professional		$41.84	$55.79	$77.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $68.56	Professional		$49.06	$67.20	$68.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $102.30 / $153.44	Professional		$81.84	$102.30	$153.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $33.46 / $84.57	Facility		$33.46	$33.46	$84.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.20 / $98.51	Professional		$49.06	$67.20	$98.51
United Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $124.56	Facility		$105.88	$105.88	$124.56
United Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $51.83 / $78.06	Professional		$46.79	$51.83	$78.06