Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Facility		$64.75	$64.75	$64.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $76.05 / $429.55	Professional		$64.75	$76.05	$429.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.47 / $900.92 / $1,683.13	Facility		$280.47	$900.92	$1,683.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $105.48 / $125.68	Professional		$79.11	$105.48	$125.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $67.88 / $180.86	Professional		$67.88	$67.88	$180.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $193.43 / $290.14	Professional		$154.74	$193.43	$290.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $40.78 / $99.23	Facility		$40.78	$40.78	$99.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $92.98 / $174.47	Professional		$67.88	$92.98	$174.47
United Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $63.16 / $95.15	Professional		$57.36	$63.16	$95.15