Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.93 / $360.24 / $2,145.78	Facility		$205.93	$360.24	$2,145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $137.03 / $261.32	Professional		$35.50	$137.03	$261.32
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $106.43 / $280.93	Professional		$44.43	$106.43	$280.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $73.23 / $269.77	Professional		$41.89	$73.23	$269.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $243.07	Professional		$32.34	$32.34	$243.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.06 / $116.44 / $232.36	Facility		$44.06	$116.44	$232.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $107.80 / $397.99	Professional		$45.53	$107.80	$397.99
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $234.71 / $349.18	Professional		$172.87	$234.71	$349.18