Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.69 / $145.69 / $7,358.85	Facility		$145.69	$145.69	$7,358.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $148.29 / $788.49	Professional		$142.53	$148.29	$788.49
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 $158.24 / $210.98 / $251.38	Professional		$158.24	$210.98	$251.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $195.78	Facility		$195.78	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $304.49	Professional		$166.41	$166.41	$304.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $264.11 / $396.16	Professional		$211.28	$264.11	$396.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.44 / $76.44 / $198.49	Facility		$76.44	$76.44	$198.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $195.78 / $314.17	Professional		$166.41	$195.78	$314.17
United Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $118.40 / $181.19	Professional		$109.47	$118.40	$181.19