Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.15 / $226.15 / $226.15	Facility		$226.15	$226.15	$226.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.15 / $268.56 / $349.07	Professional		$226.15	$268.56	$349.07
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 $27.35 / $36.47 / $45.38	Professional		$27.35	$36.47	$45.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $417.07	Facility		$64.00	$64.00	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $61.57 / $61.57	Professional		$34.33	$61.57	$61.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $66.89 / $100.33	Professional		$60.00	$66.89	$100.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $226.15 / $379.76	Facility		$23.23	$226.15	$379.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $56.13 / $102.05	Professional		$34.33	$56.13	$102.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $30.98 / $51.63	Professional		$23.17	$30.98	$51.63