Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.87 / $135.87 / $304.16	Facility		$135.87	$135.87	$304.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $182.14 / $872.00	Professional		$155.12	$182.14	$872.00
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 $136.30 / $178.83 / $337.20	Professional		$136.30	$178.83	$337.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $275.75 / $336.91	Professional		$193.08	$275.75	$336.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $298.26	Professional		$32.34	$32.34	$298.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.03 / $230.40 / $249.15	Facility		$181.03	$230.40	$249.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.31 / $275.75 / $336.91	Professional		$201.31	$275.75	$336.91
United Facility/Professional Professional Modifier Low / Median / High Price $220.26 / $239.36 / $382.84	Professional		$220.26	$239.36	$382.84