Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $484.44 / $968.88	Facility		$242.22	$484.44	$968.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $387.55 / $387.55	Professional		$242.22	$387.55	$387.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $209.92 / $209.92	Facility		$209.92	$209.92	$209.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $500.59 / $526.41 / $526.41	Professional		$500.59	$526.41	$526.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $358.85 / $452.15	Facility		$209.92	$358.85	$452.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.40 / $387.55 / $448.91	Professional		$371.40	$387.55	$448.91
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $150.72 / $193.78	Professional		$135.63	$150.72	$193.78