Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $77.86 / $77.86	Facility		$77.86	$77.86	$77.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $85.90 / $517.38	Professional		$77.86	$85.90	$517.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.23 / $780.42 / $1,381.62	Facility		$230.23	$780.42	$1,381.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $126.84 / $151.13	Professional		$95.13	$126.84	$151.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $115.38	Facility		$115.38	$115.38	$115.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $115.38	Professional		$84.23	$115.38	$115.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $158.78 / $238.17	Professional		$127.02	$158.78	$238.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $46.07 / $119.32	Facility		$46.07	$46.07	$119.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $115.38 / $181.02	Professional		$84.23	$115.38	$181.02
United Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $71.36 / $107.49	Professional		$64.79	$71.36	$107.49