Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $194.98	Professional		$114.82	$144.54	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $24.55	Professional		$12.88	$16.98	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $147.91 / $234.42	Facility		$33.88	$147.91	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $125.89	Professional		$107.15	$125.89	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $60.26	Professional		$27.54	$31.62	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $95.50 / $234.42	Facility		$28.84	$95.50	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $107.15 / $125.89	Professional		$35.48	$107.15	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.85 / $549.54	Facility		$15.14	$15.85	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $81.28	Professional		$11.75	$17.78	$81.28