Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $79.98 / $79.98	Facility		$79.98	$79.98	$79.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $109.19 / $418.34	Professional		$46.70	$109.19	$418.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.97 / $989.23 / $1,848.11	Facility		$307.97	$989.23	$1,848.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $115.82 / $138.00	Professional		$86.87	$115.82	$138.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.85 / $128.85 / $128.85	Facility		$128.85	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $128.85 / $128.85	Professional		$109.52	$128.85	$128.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $212.39 / $318.58	Professional		$169.91	$212.39	$318.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $128.85	Facility		$46.70	$46.70	$128.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $128.85 / $169.91	Professional		$109.52	$128.85	$169.91
United Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $72.34 / $108.98	Professional		$65.31	$72.34	$108.98