Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $323.59 / $1,659.59	Facility		$107.15	$323.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $776.25	Professional		$102.33	$120.23	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $128.82	Professional		$85.11	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $165.96	Professional		$60.26	$117.49	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $114.82 / $229.09	Facility		$104.71	$114.82	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68