Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.44 / $1,521.52 / $7,838.38	Facility		$492.44	$1,521.52	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $54.84 / $241.00	Professional		$43.82	$54.84	$241.00
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 $34.28 / $72.06 / $102.66	Professional		$34.28	$72.06	$102.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $85.78 / $108.16	Professional		$57.81	$85.78	$108.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.44 / $92.42	Professional		$32.34	$42.44	$92.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $42.17 / $50.86	Facility		$42.17	$42.17	$50.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $85.78 / $108.16	Professional		$60.51	$85.78	$108.16
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $93.50 / $135.09	Professional		$76.95	$93.50	$135.09