Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $151.00	Professional		$151.00	$151.00	$151.00
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 $1.18 / $1.58 / $2.10	Professional		$1.18	$1.58	$2.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $26.85	Professional		$21.48	$21.48	$26.85
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 $13.85 / $13.85 / $13.85	Facility		$13.85	$13.85	$13.85
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 $8.43 / $9.44 / $14.51	Professional		$8.43	$9.44	$14.51