Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.81 / $290.81 / $290.81	Facility		$290.81	$290.81	$290.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.08 / $254.08 / $290.81	Professional		$254.08	$254.08	$290.81
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 $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $60.00 / $1,500.00	Professional		$44.69	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $255.10	Professional		$255.10	$255.10	$255.10