Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $242.00 / $242.00	Professional		$242.00	$242.00	$242.00
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 $1.81 / $2.43 / $3.24	Professional		$1.81	$2.43	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $28.91 / $36.14	Professional		$28.91	$28.91	$36.14
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 $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
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 $10.16 / $12.57 / $14.51	Professional		$10.16	$12.57	$14.51