Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $48.34 / $48.34	Facility		$48.34	$48.34	$48.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $74.23 / $276.18	Professional		$48.34	$74.23	$276.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.96 / $484.56 / $857.88	Facility		$142.96	$484.56	$857.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $78.76 / $93.84	Professional		$59.07	$78.76	$93.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $66.58	Facility		$66.58	$66.58	$66.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.58 / $66.58	Professional		$48.60	$66.58	$66.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.87 / $98.59 / $147.88	Professional		$78.87	$98.59	$147.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $28.22 / $74.08	Facility		$28.22	$28.22	$74.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.58 / $112.18	Professional		$48.60	$66.58	$112.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.68 / $43.71 / $65.84	Professional		$39.68	$43.71	$65.84