Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.42 / $168.42 / $168.42	Facility		$168.42	$168.42	$168.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $96.86 / $151.24	Professional		$95.90	$96.86	$151.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,798.15 / $7,133.99 / $11,583.05	Facility		$2,798.15	$7,133.99	$11,583.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $95.90 / $280.50	Facility		$95.90	$95.90	$280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $95.90	Professional		$95.90	$95.90	$95.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.66 / $227.27 / $330.99	Professional		$220.66	$227.27	$330.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $312.45 / $1,489.28	Facility		$95.90	$312.45	$1,489.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $220.31	Professional		$95.90	$95.90	$220.31
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $157.10	Professional		$95.90	$95.90	$157.10