Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $207.00 / $260.29	Professional		$204.96	$207.00	$260.29
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $277.33 / $420.53	Professional		$208.00	$277.33	$420.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $428.58 / $440.21 / $660.31	Professional		$428.58	$440.21	$660.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $263.31	Facility		$204.96	$204.96	$263.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $329.19	Professional		$204.96	$204.96	$329.19
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96