Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $625.17 / $1,250.33	Facility		$312.58	$625.17	$1,250.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $500.14 / $1,519.00	Professional		$312.58	$500.14	$1,519.00
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 $255.70 / $340.93 / $391.77	Professional		$255.70	$340.93	$391.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $270.91 / $270.91	Facility		$270.91	$270.91	$270.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.33 / $688.91 / $947.44	Professional		$373.33	$688.91	$947.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $646.01 / $679.35 / $679.35	Professional		$646.01	$679.35	$679.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $567.17 / $648.33	Facility		$270.91	$567.17	$648.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.30 / $552.23 / $816.49	Professional		$479.30	$552.23	$816.49
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $238.22 / $250.07	Professional		$175.05	$238.22	$250.07