Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Professional		$128.00	$128.00	$128.00
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 $0.95 / $1.27 / $1.69	Professional		$0.95	$1.27	$1.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $19.41 / $24.26	Professional		$19.41	$19.41	$24.26
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 $12.19 / $12.19 / $12.19	Facility		$12.19	$12.19	$12.19
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 $7.14 / $7.74 / $14.51	Professional		$7.14	$7.74	$14.51