Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.23 / $868.23 / $868.23	Facility		$868.23	$868.23	$868.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.56 / $758.56 / $868.23	Professional		$758.56	$758.56	$868.23
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 $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Professional		$1,500.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $761.61	Professional		$761.61	$761.61	$761.61