Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.47 / $470.44 / $495.52	Facility		$376.47	$470.44	$495.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $150.59 / $806.90	Professional		$94.12	$150.59	$806.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $889.20 / $1,075.95 / $81,099.99	Facility		$889.20	$1,075.95	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $102.65 / $117.96	Professional		$102.65	$102.65	$117.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $81.56 / $81.56	Facility		$81.56	$81.56	$81.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $190.93 / $310.04	Professional		$112.56	$190.93	$310.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $204.55 / $204.55	Professional		$194.51	$204.55	$204.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.33 / $191.55 / $243.80	Facility		$171.33	$191.55	$243.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $174.43 / $271.85	Professional		$144.31	$174.43	$271.85
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $103.97 / $207.94	Professional		$75.29	$103.97	$207.94