Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $75.86	Facility		$72.44	$72.44	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $134.90	Professional		$38.90	$51.29	$134.90
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $97.72	Professional		$58.88	$75.86	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $128.82	Facility		$56.23	$77.62	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $97.72	Professional		$58.88	$75.86	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $120.23	Professional		$58.88	$75.86	$120.23