Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $44.93 / $44.93	Facility		$44.93	$44.93	$44.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $69.01 / $266.95	Professional		$44.93	$69.01	$266.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.65 / $625.24 / $1,168.08	Facility		$194.65	$625.24	$1,168.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $73.20 / $87.22	Professional		$54.90	$73.20	$87.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $61.62	Facility		$61.62	$61.62	$61.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.62 / $61.62	Professional		$44.98	$61.62	$61.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $134.24 / $201.36	Professional		$107.39	$134.24	$201.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $26.21 / $68.87	Facility		$26.21	$26.21	$68.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.98 / $61.62 / $100.20	Professional		$44.98	$61.62	$100.20
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $40.61 / $61.17	Professional		$36.86	$40.61	$61.17