Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.54 / $148.96	Professional		$108.47	$109.54	$148.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,057.60 / $2,696.41 / $4,378.00	Facility		$1,057.60	$2,696.41	$4,378.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $128.87	Professional		$78.06	$78.06	$128.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $170.06	Facility		$108.47	$108.47	$170.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.85 / $152.09 / $245.17	Professional		$144.85	$152.09	$245.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $211.30	Facility		$108.47	$108.47	$211.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $181.06	Professional		$108.47	$108.47	$181.06
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $114.98	Professional		$108.47	$108.47	$114.98