Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $47.98 / $47.98	Facility		$47.98	$47.98	$47.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $61.13 / $376.36	Professional		$52.18	$61.13	$376.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.80 / $667.48 / $1,247.01	Facility		$207.80	$667.48	$1,247.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $78.15 / $93.12	Professional		$58.61	$78.15	$93.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $72.18	Facility		$72.18	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $72.18	Professional		$52.69	$72.18	$72.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.64 / $143.31 / $214.96	Professional		$114.64	$143.31	$214.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $31.51 / $73.52	Facility		$31.51	$31.51	$73.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $114.65	Professional		$52.69	$72.18	$114.65
United Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $48.81 / $73.52	Professional		$44.32	$48.81	$73.52