Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.19 / $159.60 / $370.42	Facility		$146.19	$159.60	$370.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $14.24 / $45.60	Professional		$12.94	$14.24	$45.60
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 $19.30 / $28.07 / $42.53	Professional		$19.30	$28.07	$42.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $60.00 / $1,500.00	Professional		$20.46	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $21.00	Facility		$13.26	$13.26	$21.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
United Facility/Professional Facility Modifier Low / Median / High Price $59.19 / $59.19 / $59.19	Facility		$59.19	$59.19	$59.19
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00