Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $107.76 / $135.51	Professional		$106.70	$107.76	$135.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.43 / $609.32 / $1,014.51	Facility		$252.43	$609.32	$1,014.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $105.17 / $339.19	Professional		$78.88	$105.17	$339.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Facility		$106.70	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $355.06 / $532.59	Professional		$61.13	$355.06	$532.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $135.51	Facility		$106.70	$106.70	$135.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $187.48	Professional		$106.70	$106.70	$187.48
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70