Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $97.20 / $192.60	Facility		$35.09	$97.20	$192.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $40.60 / $52.64	Professional		$35.09	$40.60	$52.64
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 $21.53 / $28.70 / $32.97	Professional		$21.53	$28.70	$32.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $22.81 / $22.81	Facility		$22.81	$22.81	$22.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $58.21 / $80.05	Professional		$31.32	$58.21	$80.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $57.20 / $57.20	Professional		$54.39	$57.20	$57.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $47.76 / $54.60	Facility		$22.81	$47.76	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $46.49 / $68.98	Professional		$40.35	$46.49	$68.98
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.05 / $21.05	Professional		$14.74	$20.05	$21.05