Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.33 / $1,026.48 / $1,026.48	Facility		$82.33	$1,026.48	$1,026.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $131.38 / $147.32	Professional		$82.33	$131.38	$147.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.01 / $327.56 / $689.61	Facility		$89.01	$327.56	$689.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.61 / $177.61 / $177.61	Facility		$177.61	$177.61	$177.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $123.12 / $160.02	Professional		$90.41	$123.12	$160.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $117.23 / $177.61	Facility		$87.18	$117.23	$177.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $143.78 / $160.02	Professional		$90.41	$143.78	$160.02