Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $158.49 / $371.54	Facility		$12.88	$158.49	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $43.65	Professional		$12.02	$12.88	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $42.66	Professional		$19.50	$28.18	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $85.11	Professional		$20.42	$28.84	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.18 / $26.30	Facility		$12.59	$13.18	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88