Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $146.53 / $167.74	Facility		$80.59	$146.53	$167.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $92.31 / $177.67	Professional		$72.09	$92.31	$177.67
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 $78.09 / $82.65 / $143.62	Professional		$78.09	$82.65	$143.62
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 $77.86 / $115.66 / $169.93	Professional		$77.86	$115.66	$169.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $167.99	Professional		$32.34	$32.34	$167.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $103.07 / $184.04	Facility		$65.00	$103.07	$184.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $116.83 / $169.93	Professional		$89.87	$116.83	$169.93
United Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $134.99 / $186.29	Professional		$96.14	$134.99	$186.29