Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $152.68 / $207.60	Professional		$151.16	$152.68	$207.60
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 $132.96 / $150.37 / $177.28	Professional		$132.96	$150.37	$177.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.16 / $258.08 / $276.24	Professional		$184.16	$258.08	$276.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.27 / $151.16 / $166.28	Facility		$141.27	$151.16	$166.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $197.91	Professional		$151.16	$151.16	$197.91
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Professional		$151.16	$151.16	$151.16