Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $35.63 / $36.85	Facility		$35.63	$35.63	$36.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $56.60 / $284.68	Professional		$36.85	$56.60	$284.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.35 / $439.43 / $758.25	Facility		$126.35	$439.43	$758.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $47.52 / $67.73	Professional		$35.64	$47.52	$67.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $76.31	Professional		$42.10	$42.10	$76.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.71 / $87.14 / $130.71	Professional		$69.71	$87.14	$130.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.09 / $29.09 / $76.36	Facility		$29.09	$29.09	$76.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $42.10 / $82.04	Professional		$33.54	$42.10	$82.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $45.05 / $67.87	Professional		$40.68	$45.05	$67.87