Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $316.23	Facility		$223.87	$257.04	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $316.23	Professional		$102.33	$141.25	$316.23
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 $87.10 / $117.49 / $134.90	Professional		$87.10	$117.49	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $208.93	Professional		$128.82	$165.96	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $251.19	Professional		$100.00	$144.54	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $177.83 / $416.87	Facility		$95.50	$177.83	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $208.93	Professional		$104.71	$165.96	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11