Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $77.63 / $77.63	Facility		$77.63	$77.63	$77.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $119.21 / $443.40	Professional		$77.63	$119.21	$443.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.55 / $778.09 / $1,377.53	Facility		$229.55	$778.09	$1,377.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $126.46 / $150.68	Professional		$94.85	$126.46	$150.68
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 $110.81 / $158.31 / $221.63	Professional		$110.81	$158.31	$221.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $45.29 / $118.97	Facility		$45.29	$45.29	$118.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $180.10	Professional		$64.86	$88.85	$180.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $70.16 / $105.69	Professional		$63.71	$70.16	$105.69