Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $156.19 / $156.19	Facility		$64.56	$156.19	$156.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $32.26 / $256.33	Professional		$27.60	$32.26	$256.33
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 $53.24 / $70.98 / $84.57	Professional		$53.24	$70.98	$84.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $71.75	Professional		$43.41	$59.47	$71.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.08 / $88.85 / $133.27	Professional		$71.08	$88.85	$133.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $25.75 / $66.76	Facility		$25.75	$25.75	$66.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $59.47 / $104.12	Professional		$43.41	$59.47	$104.12
United Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $39.89 / $63.26	Professional		$36.22	$39.89	$63.26