Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $302.00 / $5,128.61	Facility		$114.82	$302.00	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $380.19	Professional		$104.71	$104.71	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,818.38 / $4,365.16	Facility		$1,230.27	$2,818.38	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $128.82	Professional		$77.62	$77.62	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $229.09	Facility		$104.71	$169.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Professional		$104.71	$104.71	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $239.88	Professional		$134.90	$151.36	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $380.19	Facility		$104.71	$112.20	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $169.82	Professional		$72.44	$72.44	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $151.36	Professional		$104.71	$104.71	$151.36