Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $155.00	Professional		$155.00	$155.00	$155.00
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 $0.64 / $0.86 / $1.14	Professional		$0.64	$0.86	$1.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $27.88	Professional		$22.30	$22.30	$27.88
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 $15.70 / $15.70 / $15.70	Facility		$15.70	$15.70	$15.70
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 $9.56 / $10.16 / $14.51	Professional		$9.56	$10.16	$14.51