Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.93 / $289.93 / $289.93	Facility		$289.93	$289.93	$289.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $395.78 / $1,518.44	Professional		$284.26	$395.78	$1,518.44
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 $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $420.61 / $420.61	Professional		$357.52	$420.61	$420.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.46 / $525.58 / $788.37	Professional		$420.46	$525.58	$788.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $152.43 / $420.61	Facility		$152.43	$152.43	$420.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $420.61 / $615.91	Professional		$357.52	$420.61	$615.91
United Facility/Professional Professional Modifier Low / Median / High Price $218.31 / $246.51 / $361.33	Professional		$218.31	$246.51	$361.33