Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.90 / $180.12 / $836.10	Facility		$109.90	$180.12	$836.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $55.10 / $122.40	Professional		$55.10	$55.10	$122.40
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 $40.00 / $40.00 / $42.80	Professional		$40.00	$40.00	$42.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $60.00 / $1,500.00	Professional		$42.40	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $57.20	Facility		$56.42	$56.42	$57.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Professional		$56.50	$56.50	$56.50