Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $489.78 / $501.19	Facility		$229.09	$489.78	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $281.84	Professional		$114.82	$151.36	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $144.54	Professional		$85.11	$125.89	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $218.78	Professional		$177.83	$177.83	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $186.21	Facility		$77.62	$144.54	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $154.88	Professional		$69.18	$138.04	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20