Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Professional		$130.00	$130.00	$130.00
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 $4.04 / $6.21 / $6.21	Professional		$4.04	$6.21	$6.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $37.17 / $46.46	Professional		$37.17	$37.17	$46.46
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 $16.07 / $16.07 / $16.07	Facility		$16.07	$16.07	$16.07
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 $9.69 / $10.30 / $14.51	Professional		$9.69	$10.30	$14.51