Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Facility		$182.86	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $182.86 / $183.77	Professional		$182.86	$182.86	$183.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $471.75 / $814.03	Facility		$135.65	$471.75	$814.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $33.27 / $88.26	Professional		$24.95	$33.27	$88.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $179.84 / $179.84	Professional		$6.67	$179.84	$179.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $93.55 / $140.32	Professional		$65.48	$93.55	$140.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.64 / $182.86 / $183.77	Facility		$182.64	$182.86	$183.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.84 / $179.84 / $247.16	Professional		$179.84	$179.84	$247.16