Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.80 / $79.80 / $79.80	Facility		$79.80	$79.80	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $69.72 / $79.80	Professional		$69.72	$69.72	$79.80
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $60.00 / $1,500.00	Professional		$42.30	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $71.40 / $71.40	Facility		$52.92	$71.40	$71.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $79.80	Professional		$79.80	$79.80	$79.80