Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $43.42 / $43.42	Facility		$43.42	$43.42	$43.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $66.68 / $340.65	Professional		$43.42	$66.68	$340.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.08 / $604.14 / $1,128.67	Facility		$188.08	$604.14	$1,128.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $70.73 / $84.28	Professional		$53.05	$70.73	$84.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $60.55	Facility		$60.55	$60.55	$60.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.55 / $60.55	Professional		$44.20	$60.55	$60.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $129.71 / $194.56	Professional		$103.76	$129.71	$194.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $66.54	Facility		$28.52	$28.52	$66.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $60.55 / $103.76	Professional		$44.20	$60.55	$103.76
United Facility/Professional Facility Modifier Low / Median / High Price $100.35 / $100.35 / $118.06	Facility		$100.35	$100.35	$118.06
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $44.18 / $66.54	Professional		$40.11	$44.18	$66.54