Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.17 / $94.17 / $94.17	Facility		$94.17	$94.17	$94.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $106.64 / $523.00	Professional		$93.00	$106.64	$523.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.45 / $944.01 / $1,671.04	Facility		$278.45	$944.01	$1,671.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $153.41 / $182.79	Professional		$115.06	$153.41	$182.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $106.63	Facility		$106.63	$106.63	$106.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $106.63	Professional		$77.84	$106.63	$106.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $192.04 / $288.06	Professional		$153.63	$192.04	$288.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $54.96 / $144.33	Facility		$54.96	$54.96	$144.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $218.47	Professional		$77.84	$106.63	$218.47
United Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $85.13 / $128.25	Professional		$77.30	$85.13	$128.25