Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.49 / $411.92 / $788.97	Facility		$394.49	$411.92	$788.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.24 / $218.28 / $315.58	Professional		$197.24	$218.28	$315.58
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 $161.35 / $215.13 / $247.21	Professional		$161.35	$215.13	$247.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $170.94 / $170.94	Facility		$170.94	$170.94	$170.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.65 / $327.52 / $450.42	Professional		$235.65	$327.52	$450.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $355.03 / $428.67	Professional		$184.09	$355.03	$428.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $262.99 / $331.37	Facility		$170.94	$262.99	$331.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $318.22 / $388.17	Professional		$277.45	$318.22	$388.17
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $157.79	Professional		$110.46	$110.46	$157.79