Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $49.76 / $49.76	Facility		$47.02	$49.76	$49.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $66.05 / $219.00	Professional		$38.00	$66.05	$219.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.06 / $471.38 / $834.47	Facility		$139.06	$471.38	$834.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $76.61 / $91.27	Professional		$57.46	$76.61	$91.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $61.21 / $61.21	Facility		$61.21	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $61.21	Professional		$44.68	$61.21	$61.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $95.90 / $143.85	Professional		$76.72	$95.90	$143.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $70.23 / $70.23	Facility		$61.21	$70.23	$70.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $112.38	Professional		$44.68	$61.21	$112.38
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $127.86	Facility		$108.68	$108.68	$127.86
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $47.84 / $75.06	Professional		$45.04	$47.84	$75.06