Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $113.40 / $226.80	Facility		$56.70	$113.40	$226.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $90.72 / $486.11	Professional		$56.70	$90.72	$486.11
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $49.14 / $49.14	Facility		$49.14	$49.14	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $41.44 / $87.14	Professional		$31.08	$41.44	$87.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $117.18 / $123.23	Professional		$41.58	$117.18	$123.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.51 / $71.81 / $90.72	Facility		$19.51	$71.81	$90.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $75.59 / $100.17	Professional		$24.57	$75.59	$100.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.58 / $45.36	Professional		$12.57	$12.58	$45.36