Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $45.21 / $45.21	Facility		$45.21	$45.21	$45.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $69.44 / $291.86	Professional		$45.21	$69.44	$291.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.84 / $629.05 / $1,175.22	Facility		$195.84	$629.05	$1,175.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $73.65 / $87.76	Professional		$55.24	$73.65	$87.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $71.02	Facility		$71.02	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $71.02 / $71.02	Professional		$51.84	$71.02	$71.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $135.06 / $202.59	Professional		$108.04	$135.06	$202.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $27.45 / $71.02	Facility		$27.45	$27.45	$71.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $71.02 / $105.79	Professional		$51.84	$71.02	$105.79
United Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $42.52 / $64.05	Professional		$38.60	$42.52	$64.05