Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.43 / $282.85 / $565.71	Facility		$141.43	$282.85	$565.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $226.28 / $1,212.51	Professional		$141.43	$226.28	$1,212.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.50 / $1,551.85 / $81,099.99	Facility		$1,282.50	$1,551.85	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $154.25 / $177.26	Professional		$154.25	$154.25	$177.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.57 / $122.57 / $122.57	Facility		$122.57	$122.57	$122.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.99 / $275.66 / $446.84	Professional		$168.99	$275.66	$446.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $307.37 / $307.37	Professional		$292.27	$307.37	$307.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.11 / $276.29 / $351.64	Facility		$247.11	$276.29	$351.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $257.05 / $391.80	Professional		$216.86	$257.05	$391.80
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $149.96 / $301.70	Professional		$113.14	$149.96	$301.70