Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Facility		$43.32	$43.32	$43.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $49.80 / $93.93	Professional		$43.32	$49.80	$93.93
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 $61.81 / $61.81 / $61.81	Professional		$61.81	$61.81	$61.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $77.66 / $97.65	Professional		$59.54	$77.66	$97.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $32.34 / $79.89	Professional		$14.76	$32.34	$79.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $72.38 / $79.37	Facility		$56.87	$72.38	$79.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $77.66 / $97.65	Professional		$59.54	$77.66	$97.65
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 $62.10 / $81.89 / $120.68	Professional		$62.10	$81.89	$120.68