Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.29 / $199.29 / $199.29	Facility		$199.29	$199.29	$199.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $272.05 / $1,022.68	Professional		$185.36	$272.05	$1,022.68
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 $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $274.27	Professional		$233.13	$274.27	$274.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $230.28 / $230.28	Professional		$230.28	$230.28	$230.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $99.40 / $274.27	Facility		$99.40	$99.40	$274.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $423.36	Professional		$233.13	$274.27	$423.36
United Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $176.25 / $231.98	Professional		$142.36	$176.25	$231.98