Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $59.09 / $59.09	Facility		$59.09	$59.09	$59.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $73.30 / $337.00	Professional		$59.09	$73.30	$337.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.71 / $592.27 / $1,048.44	Facility		$174.71	$592.27	$1,048.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $96.25 / $114.69	Professional		$72.19	$96.25	$114.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $88.85	Professional		$64.86	$88.85	$88.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $120.49 / $180.73	Professional		$96.39	$120.49	$180.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $35.72 / $90.56	Facility		$35.72	$35.72	$90.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $141.19	Professional		$64.86	$88.85	$141.19
United Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $55.35 / $83.38	Professional		$50.26	$55.35	$83.38