Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.42 / $424.42 / $424.42	Facility		$424.42	$424.42	$424.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.42 / $579.36 / $2,755.01	Professional		$424.42	$579.36	$2,755.01
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 $451.71 / $451.71 / $451.71	Facility		$451.71	$451.71	$451.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $451.70 / $451.71	Professional		$383.95	$451.70	$451.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $490.40 / $490.40 / $490.40	Professional		$490.40	$490.40	$490.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $235.05 / $578.19	Facility		$235.05	$235.05	$578.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $451.71 / $910.13	Professional		$383.95	$451.71	$910.13
United Facility/Professional Professional Modifier Low / Median / High Price $336.62 / $364.09 / $548.57	Professional		$336.62	$364.09	$548.57