Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $433.83 / $453.90	Facility		$108.46	$433.83	$453.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $173.53 / $929.84	Professional		$108.46	$173.53	$929.84
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 $88.72 / $118.29 / $135.93	Professional		$88.72	$118.29	$135.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.00 / $94.00 / $94.00	Facility		$94.00	$94.00	$94.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $190.93 / $310.04	Professional		$129.61	$190.93	$310.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $224.15 / $235.71 / $235.71	Professional		$224.15	$235.71	$235.71
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 $166.30 / $183.65 / $271.85	Professional		$166.30	$183.65	$271.85
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $105.24 / $231.38	Professional		$86.77	$105.24	$231.38