Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.38 / $118.38 / $19,176.84	Facility		$118.38	$118.38	$19,176.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.95 / $103.29	Professional		$75.20	$75.95	$103.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.20 / $633.86 / $1,064.75	Facility		$257.20	$633.86	$1,064.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $81.19 / $109.61	Professional		$81.19	$81.19	$109.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $95.91	Facility		$75.22	$75.22	$95.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $118.80 / $178.20	Professional		$83.16	$118.80	$178.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $112.74	Facility		$75.22	$75.22	$112.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $100.24	Professional		$75.22	$75.22	$100.24
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $79.73	Professional		$75.22	$75.22	$79.73