Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.75 / $192.28 / $1,071.90	Facility		$90.75	$192.28	$1,071.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $64.06 / $153.82	Professional		$57.03	$64.06	$153.82
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 $92.49 / $92.49 / $92.49	Facility		$92.49	$92.49	$92.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $89.81 / $212.98	Professional		$66.63	$89.81	$212.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $85.00 / $1,500.00	Professional		$45.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $92.49 / $130.75	Facility		$92.49	$92.49	$130.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $89.81 / $176.74	Professional		$66.63	$89.81	$176.74
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $83.84 / $162.01	Professional		$79.26	$83.84	$162.01