Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Facility		$62.87	$62.87	$62.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $85.60 / $335.15	Professional		$62.87	$85.60	$335.15
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $96.39 / $118.22	Professional		$37.71	$96.39	$118.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.47 / $109.16	Professional		$32.34	$103.47	$109.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $132.29 / $151.74	Facility		$76.20	$132.29	$151.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $109.25 / $152.86	Professional		$37.71	$109.25	$152.86
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $58.81 / $112.46	Professional		$44.11	$58.81	$112.46