Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.86 / $7,448.00 / $7,448.00	Facility		$65.86	$7,448.00	$7,448.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.54 / $7,430.40	Professional		$57.53	$57.54	$7,430.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.11 / $367.08 / $598.16	Facility		$100.11	$367.08	$598.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $58.89 / $63.01	Professional		$58.89	$58.89	$63.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $67.97 / $1,500.00	Professional		$59.63	$67.97	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $63.24	Facility		$58.93	$58.93	$63.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $57.78	Professional		$57.78	$57.78	$57.78