Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $475.00 / $475.00	Facility		$475.00	$475.00	$475.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $415.00 / $475.00	Professional		$415.00	$415.00	$475.00
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $60.00 / $1,500.00	Professional		$40.40	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00