Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.77 / $231.77 / $231.77	Facility		$231.77	$231.77	$231.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $316.39 / $1,226.02	Professional		$231.77	$316.39	$1,226.02
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 $373.38 / $373.38 / $373.38	Facility		$373.38	$373.38	$373.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $516.35	Professional		$317.37	$317.37	$516.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $267.80 / $267.80	Professional		$267.80	$267.80	$267.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.32 / $135.32 / $373.38	Facility		$135.32	$135.32	$373.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $373.38 / $656.47	Professional		$317.37	$373.38	$656.47
United Facility/Professional Professional Modifier Low / Median / High Price $193.79 / $252.09 / $315.81	Professional		$193.79	$252.09	$315.81