Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.65 / $501.65 / $501.65	Facility		$501.65	$501.65	$501.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.65 / $672.02 / $672.02	Professional		$501.65	$672.02	$672.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $79.01 / $103.14	Professional		$59.26	$79.01	$103.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $81.44 / $81.44	Professional		$81.44	$81.44	$81.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $149.23 / $1,281.96	Professional		$79.59	$149.23	$1,281.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.92 / $567.90 / $832.92	Facility		$125.92	$567.90	$832.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $81.44 / $81.44	Professional		$81.44	$81.44	$81.44
United Facility/Professional Professional Modifier Low / Median / High Price $51.01 / $54.49 / $585.52	Professional		$51.01	$54.49	$585.52