Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $138.00 / $138.00	Professional		$138.00	$138.00	$138.00
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 $1.30 / $1.74 / $2.31	Professional		$1.30	$1.74	$2.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $24.78 / $30.98	Professional		$24.78	$24.78	$30.98
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 $18.39 / $18.39 / $18.39	Facility		$18.39	$18.39	$18.39
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 / $11.21 / $14.51	Professional		$10.16	$11.21	$14.51