Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.06 / $307.44 / $345.95	Facility		$165.06	$307.44	$345.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $151.16 / $178.89	Professional		$93.66	$151.16	$178.89
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 $81.33 / $81.33 / $81.33	Facility		$81.33	$81.33	$81.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $188.31 / $254.10	Professional		$110.82	$188.31	$254.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,000.00	Professional		$50.00	$60.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $99.75 / $130.06	Facility		$81.33	$99.75	$130.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $188.31 / $279.27	Professional		$119.58	$188.31	$279.27
United Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $182.11 / $325.38	Professional		$150.06	$182.11	$325.38