Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.90 / $51.90 / $51.90	Facility		$51.90	$51.90	$51.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $79.70 / $407.17	Professional		$51.90	$79.70	$407.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.81 / $722.11 / $1,349.08	Facility		$224.81	$722.11	$1,349.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $84.55 / $100.74	Professional		$63.41	$84.55	$100.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $68.45	Professional		$49.98	$68.45	$68.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $155.04 / $232.56	Professional		$124.03	$155.04	$232.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $34.09 / $79.54	Facility		$34.09	$34.09	$79.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $124.03	Professional		$49.98	$68.45	$124.03
United Facility/Professional Facility Modifier Low / Median / High Price $119.95 / $119.95 / $141.12	Facility		$119.95	$119.95	$141.12
United Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $52.80 / $79.54	Professional		$47.94	$52.80	$79.54