Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Facility		$153.91	$153.91	$153.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $1,260.80	Professional		$134.47	$134.47	$1,260.80
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $60.00 / $1,500.00	Professional		$46.01	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $33.92 / $137.72	Facility		$21.83	$33.92	$137.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Professional		$153.91	$153.91	$153.91