Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.11 / $120.11 / $269.76	Facility		$120.11	$120.11	$269.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $161.18 / $784.00	Professional		$120.11	$161.18	$784.00
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 $120.28 / $158.15 / $295.01	Professional		$120.28	$158.15	$295.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $244.73 / $298.81	Professional		$166.03	$244.73	$298.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.72	Professional		$32.34	$32.34	$262.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.26 / $208.92 / $224.34	Facility		$176.26	$208.92	$224.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $244.73 / $298.81	Professional		$170.02	$244.73	$298.81
United Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $217.89 / $368.94	Professional		$188.00	$217.89	$368.94