Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $179.35 / $179.35	Facility		$20.00	$179.35	$179.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $54.47 / $98.97	Professional		$21.77	$54.47	$98.97
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 $17.14 / $41.88 / $83.38	Professional		$17.14	$41.88	$83.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $63.29 / $116.82	Professional		$27.29	$63.29	$116.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $83.82	Professional		$32.34	$32.34	$83.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $36.77 / $78.59	Facility		$21.68	$36.77	$78.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $66.23 / $144.00	Professional		$28.71	$66.23	$144.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.58 / $119.91 / $178.76	Professional		$79.58	$119.91	$178.76