Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.10 / $367.08 / $3,132.00	Facility		$224.10	$367.08	$3,132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $266.30 / $304.80	Professional		$136.80	$266.30	$304.80
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 $33.09 / $33.09 / $33.09	Professional		$33.09	$33.09	$33.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.08 / $60.00 / $1,500.00	Professional		$35.08	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $272.70 / $272.70	Facility		$64.17	$272.70	$272.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $267.37	Professional		$267.37	$267.37	$267.37