Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.32 / $233.32 / $245.48	Facility		$233.32	$233.32	$245.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $100.14 / $214.40	Professional		$66.06	$100.14	$214.40
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 $60.24 / $86.05 / $151.31	Professional		$60.24	$86.05	$151.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $122.57 / $168.42	Professional		$89.25	$122.57	$168.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.57	Professional		$32.34	$32.34	$120.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.01 / $79.70 / $100.14	Facility		$75.01	$79.70	$100.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $124.13 / $203.96	Professional		$96.50	$124.13	$203.96
United Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $142.02 / $213.81	Professional		$90.56	$142.02	$213.81