Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $131.83 / $131.83	Facility		$64.57	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $128.82	Professional		$70.79	$91.20	$128.82
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 $38.02 / $38.02 / $117.49	Professional		$38.02	$38.02	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $199.53	Professional		$74.13	$109.65	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $123.03 / $194.98	Facility		$69.18	$123.03	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $169.82	Professional		$74.13	$123.03	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $173.78	Professional		$89.13	$93.33	$173.78