Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.55 / $783.55 / $783.55	Facility		$783.55	$783.55	$783.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $783.55 / $1,049.66 / $1,049.66	Professional		$783.55	$1,049.66	$1,049.66
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 $92.86 / $123.81 / $161.10	Professional		$92.86	$123.81	$161.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $989.22 / $989.22 / $989.22	Facility		$989.22	$989.22	$989.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $989.22 / $989.22	Professional		$122.53	$989.22	$989.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $252.96 / $1,988.76	Professional		$134.91	$252.96	$1,988.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.28 / $901.49 / $1,300.99	Facility		$679.28	$901.49	$1,300.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $989.22 / $989.22	Professional		$122.53	$989.22	$989.22
United Facility/Professional Professional Modifier Low / Median / High Price $696.17 / $784.30 / $1,290.46	Professional		$696.17	$784.30	$1,290.46