Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $45.33 / $45.33	Facility		$45.33	$45.33	$45.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $51.32 / $258.97	Professional		$45.33	$51.32	$258.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.05 / $454.36 / $804.45	Facility		$134.05	$454.36	$804.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $73.84 / $87.99	Professional		$55.39	$73.84	$87.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $112.89	Professional		$44.92	$61.54	$112.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $92.45 / $138.67	Professional		$73.95	$92.45	$138.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $69.45	Facility		$26.46	$26.46	$69.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $105.18	Professional		$44.92	$61.54	$105.18
United Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $40.98 / $61.73	Professional		$37.21	$40.98	$61.73