Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.37 / $333.00 / $411.42	Facility		$208.37	$333.00	$411.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $133.16 / $190.82	Professional		$117.31	$133.16	$190.82
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 $103.66 / $103.66 / $103.66	Facility		$103.66	$103.66	$103.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $165.09 / $243.83	Professional		$130.15	$165.09	$243.83
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 $103.66 / $127.03 / $163.91	Facility		$103.66	$127.03	$163.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $165.09 / $247.92	Professional		$130.15	$165.09	$247.92
United Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $188.97 / $337.97	Professional		$135.47	$188.97	$337.97