Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.64 / $894.64 / $894.64	Facility		$894.64	$894.64	$894.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.64 / $1,171.85 / $1,171.85	Professional		$894.64	$1,171.85	$1,171.85
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 $106.72 / $142.29 / $179.87	Professional		$106.72	$142.29	$179.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $1,122.47 / $1,122.47	Facility		$1,122.47	$1,122.47	$1,122.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $1,122.47 / $1,122.47	Professional		$140.82	$1,122.47	$1,122.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $282.43 / $2,079.23	Professional		$150.63	$282.43	$2,079.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $764.55 / $1,023.62 / $1,485.44	Facility		$764.55	$1,023.62	$1,485.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $1,122.47 / $1,122.47	Professional		$140.82	$1,122.47	$1,122.47
United Facility/Professional Professional Modifier Low / Median / High Price $783.63 / $883.25 / $1,452.40	Professional		$783.63	$883.25	$1,452.40