Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $109.12 / $226.76	Facility		$109.12	$109.12	$226.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $181.41 / $181.41	Professional		$109.12	$181.41	$181.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,943.54 / $10,793.37 / $17,587.65	Facility		$2,943.54	$10,793.37	$17,587.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $127.07 / $260.35	Professional		$66.25	$127.07	$260.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Facility		$72.73	$72.73	$72.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $290.93 / $426.62	Professional		$136.63	$290.93	$426.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.01 / $176.75	Professional		$32.34	$80.01	$176.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $524.22 / $760.26	Facility		$128.69	$524.22	$760.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $298.14 / $397.34	Professional		$180.49	$298.14	$397.34
United Facility/Professional Facility Modifier Low / Median / High Price $6,833.27 / $6,833.27 / $6,833.27	Facility		$6,833.27	$6,833.27	$6,833.27
United Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $272.44 / $439.25	Professional		$160.60	$272.44	$439.25