Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.46 / $413.46 / $413.46	Facility		$413.46	$413.46	$413.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.46 / $564.40 / $2,356.86	Professional		$413.46	$564.40	$2,356.86
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.06 / $666.06 / $666.06	Facility		$666.06	$666.06	$666.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $666.06 / $666.06	Professional		$566.15	$666.06	$666.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $477.73 / $477.73 / $477.73	Professional		$477.73	$477.73	$477.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.39 / $241.39 / $666.06	Facility		$241.39	$241.39	$666.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $666.06 / $916.45	Professional		$566.15	$666.06	$916.45
United Facility/Professional Professional Modifier Low / Median / High Price $345.71 / $373.91 / $563.37	Professional		$345.71	$373.91	$563.37