Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
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 $46.73 / $154.05 / $205.40	Professional		$46.73	$154.05	$205.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $20.90	Professional		$18.70	$18.70	$20.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.00 / $1,500.00	Professional		$34.67	$50.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70