Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.02 / $193.80 / $193.80	Facility		$73.02	$193.80	$193.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $63.79 / $73.02	Professional		$55.20	$63.79	$73.02
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 $40.81 / $40.81 / $40.81	Professional		$40.81	$40.81	$40.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Facility		$65.33	$65.33	$65.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $60.00 / $1,500.00	Professional		$43.26	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $65.33 / $65.33	Facility		$21.08	$65.33	$65.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $65.33 / $65.33	Professional		$65.33	$65.33	$65.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05