Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $34.86	Facility		$19.97	$19.97	$34.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $27.35 / $113.00	Professional		$22.28	$27.35	$113.00
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 $17.12 / $23.87 / $49.84	Professional		$17.12	$23.87	$49.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $34.84 / $51.04	Professional		$25.43	$34.84	$51.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $36.79	Professional		$32.34	$32.34	$36.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $34.86 / $60.93	Facility		$22.57	$34.86	$60.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $36.86 / $68.40	Professional		$26.26	$36.86	$68.40
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $38.76 / $49.40	Professional		$28.79	$38.76	$49.40