Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $50.79 / $50.79	Facility		$50.79	$50.79	$50.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $66.53 / $307.00	Professional		$20.00	$66.53	$307.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $509.06 / $901.21	Facility		$150.18	$509.06	$901.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $82.73 / $98.58	Professional		$62.05	$82.73	$98.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $68.22	Facility		$68.22	$68.22	$68.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $68.22	Professional		$49.80	$68.22	$68.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.49 / $103.57 / $155.35	Professional		$72.49	$103.57	$155.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $32.44 / $77.83	Facility		$32.44	$32.44	$77.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $68.22 / $121.37	Professional		$49.80	$68.22	$121.37
United Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $50.24 / $75.68	Professional		$45.62	$50.24	$75.68