Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $71.13 / $336.52	Professional		$46.32	$71.13	$336.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.65 / $644.52 / $1,204.10	Facility		$200.65	$644.52	$1,204.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $75.45 / $89.91	Professional		$56.60	$75.45	$89.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $62.81	Professional		$45.85	$62.81	$62.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $138.38 / $207.57	Professional		$110.70	$138.38	$207.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $28.17 / $70.98	Facility		$28.17	$28.17	$70.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $109.56	Professional		$45.85	$62.81	$109.56
United Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $43.64 / $65.73	Professional		$39.61	$43.64	$65.73