Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $112.20	Professional		$56.23	$70.79	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $707.95 / $1,174.90	Facility		$331.13	$707.95	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $125.89	Professional		$67.61	$104.71	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $194.98	Professional		$89.13	$89.13	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $199.53	Professional		$107.15	$131.83	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $100.00 / $134.90	Facility		$38.02	$100.00	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $154.88	Professional		$89.13	$89.13	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $89.13 / $158.49	Facility		$45.71	$89.13	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $89.13	Professional		$53.70	$64.57	$89.13