Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.26 / $402.26 / $32,068.43	Facility		$402.26	$402.26	$32,068.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.44 / $402.26 / $715.37	Professional		$299.44	$402.26	$715.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.45 / $1,297.67 / $2,225.39	Facility		$372.45	$1,297.67	$2,225.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.64 / $314.19 / $336.20	Professional		$235.64	$314.19	$336.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Facility		$375.45	$375.45	$375.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $252.89 / $252.89	Professional		$252.89	$252.89	$252.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.69 / $99.79 / $375.45	Facility		$64.69	$99.79	$375.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $816.60 / $816.60	Professional		$316.23	$816.60	$816.60