Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.44 / $256.88 / $318.08	Facility		$223.44	$256.88	$318.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $121.23 / $195.87	Professional		$106.97	$121.23	$195.87
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 $87.50 / $116.67 / $134.07	Professional		$87.50	$116.67	$134.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $92.71 / $92.71	Facility		$92.71	$92.71	$92.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $177.66 / $244.33	Professional		$127.75	$177.66	$244.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $145.48 / $232.49	Professional		$99.84	$145.48	$232.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $142.63 / $179.71	Facility		$92.71	$142.63	$179.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $177.66 / $210.56	Professional		$150.47	$177.66	$210.56
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $85.58	Professional		$59.90	$59.90	$85.58