Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $142.04 / $142.04	Facility		$86.38	$142.04	$142.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $109.70 / $1,485.90	Professional		$86.37	$109.70	$1,485.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.30 / $2,175.55 / $3,545.03	Facility		$593.30	$2,175.55	$3,545.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $247.65 / $247.65	Professional		$107.44	$247.65	$247.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Facility		$86.38	$86.38	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $402.85 / $402.85 / $402.85	Professional		$402.85	$402.85	$402.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $397.51 / $450.67	Facility		$86.38	$397.51	$450.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38