Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $204.17	Professional		$93.33	$120.23	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $2,041.74	Facility		$562.34	$1,202.26	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $213.80	Professional		$134.90	$181.97	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $338.84	Professional		$91.20	$91.20	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $338.84	Professional		$181.97	$223.87	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $162.18 / $229.09	Facility		$64.57	$162.18	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $245.47	Professional		$91.20	$91.20	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $275.42	Facility		$77.62	$112.20	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $151.36	Professional		$93.33	$100.00	$151.36