Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $57.95 / $57.95	Facility		$57.95	$57.95	$57.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $70.09 / $251.00	Professional		$58.54	$70.09	$251.00
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 $68.15 / $70.98 / $112.45	Professional		$68.15	$70.98	$112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $96.66 / $134.63	Professional		$72.31	$96.66	$134.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $111.12	Professional		$32.34	$32.34	$111.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $81.47 / $110.90	Facility		$57.95	$81.47	$110.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $112.43 / $197.80	Professional		$73.86	$112.43	$197.80
United Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $107.80 / $126.60	Professional		$74.84	$107.80	$126.60