Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Facility		$368.58	$368.58	$368.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.14 / $503.13 / $1,927.72	Professional		$361.14	$503.13	$1,927.72
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 $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $821.24	Professional		$319.38	$319.38	$821.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $534.50 / $668.13 / $1,002.19	Professional		$534.50	$668.13	$1,002.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.66 / $193.66 / $502.09	Facility		$193.66	$193.66	$502.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $375.74 / $782.96	Professional		$319.38	$375.74	$782.96
United Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $299.99 / $459.06	Professional		$277.36	$299.99	$459.06