Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.48 / $1,558.28 / $1,558.28	Facility		$357.48	$1,558.28	$1,558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.48 / $475.00 / $700.00	Professional		$357.48	$475.00	$700.00
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 $47.70 / $279.41 / $614.33	Professional		$47.70	$279.41	$614.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $743.86 / $743.86 / $743.86	Facility		$743.86	$743.86	$743.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.48 / $587.48 / $859.25	Professional		$355.48	$587.48	$859.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $520.52 / $1,000.00	Professional		$60.00	$520.52	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.33 / $595.00 / $670.33	Facility		$421.33	$595.00	$670.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.78 / $677.87 / $940.24	Professional		$380.78	$677.87	$940.24
United Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $412.28 / $938.59	Professional		$367.50	$412.28	$938.59