Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $52.66 / $154.29	Facility		$42.13	$52.66	$154.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $93.66	Professional		$42.13	$42.13	$93.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.65 / $264.58 / $81,099.99	Facility		$218.65	$264.58	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $42.07 / $42.13	Professional		$42.07	$42.07	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $59.10 / $73.88	Professional		$59.10	$59.10	$73.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $48.86 / $51.43	Facility		$42.13	$48.86	$51.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $51.43 / $51.43	Professional		$42.17	$51.43	$51.43
United Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $17.73 / $25.33	Professional		$16.72	$17.73	$25.33