Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $144.54 / $588.84	Facility		$128.82	$144.54	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $52.48	Professional		$19.95	$33.11	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $128.82	Facility		$19.95	$52.48	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $63.10	Professional		$45.71	$47.86	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $26.30	Professional		$18.20	$18.20	$26.30