Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $166.57 / $166.57	Facility		$166.57	$166.57	$166.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.54 / $213.33 / $213.33	Professional		$113.54	$213.33	$213.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.22 / $370.22 / $493.63	Professional		$370.22	$370.22	$493.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $409.07	Professional		$347.71	$409.07	$409.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $186.27 / $493.63	Facility		$186.27	$186.27	$493.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $409.07	Professional		$347.71	$409.07	$409.07
United Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $266.77 / $434.64	Professional		$173.23	$266.77	$434.64