Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.38 / $499.80 / $1,116.22	Facility		$198.38	$499.80	$1,116.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $97.21 / $545.60	Professional		$84.93	$97.21	$545.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $143.97 / $144.00	Professional		$95.04	$143.97	$144.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $1,500.00	Professional		$60.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $87.72	Facility		$86.98	$86.98	$87.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $85.27	Professional		$85.27	$85.27	$85.27