Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $189.00	Professional		$189.00	$189.00	$189.00
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 $4.55 / $6.11 / $8.14	Professional		$4.55	$6.11	$8.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $26.73 / $26.73	Facility		$26.73	$26.73	$26.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Professional		$19.07	$19.07	$19.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $10.15 / $14.51	Professional		$9.56	$10.15	$14.51