Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.72 / $225.44 / $450.87	Facility		$112.72	$225.44	$450.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $180.35 / $966.37	Professional		$112.72	$180.35	$966.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.16 / $1,264.67 / $81,099.99	Facility		$1,045.16	$1,264.67	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $122.94 / $141.27	Professional		$122.94	$122.94	$141.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.69 / $97.69 / $97.69	Facility		$97.69	$97.69	$97.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $230.15 / $373.36	Professional		$134.57	$230.15	$373.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.95 / $244.97 / $244.97	Professional		$232.95	$244.97	$244.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.81 / $230.97 / $293.95	Facility		$142.81	$230.97	$293.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.83 / $203.86 / $327.37	Professional		$172.83	$203.86	$327.37
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $125.36 / $250.73	Professional		$90.17	$125.36	$250.73