Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $81.81 / $170.14	Facility		$81.81	$81.81	$170.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $83.65 / $181.02	Professional		$57.56	$83.65	$181.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.85 / $616.16 / $1,056.68	Facility		$176.85	$616.16	$1,056.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $86.16 / $121.64	Professional		$79.20	$86.16	$121.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $111.99 / $163.10	Professional		$81.30	$111.99	$163.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.00	Professional		$32.34	$32.34	$171.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $104.91 / $184.04	Facility		$65.00	$104.91	$184.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $111.99 / $163.10	Professional		$86.15	$111.99	$163.10
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $108.68	Facility		$108.68	$108.68	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $129.51 / $178.72	Professional		$98.42	$129.51	$178.72