Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $34.20 / $574.24	Facility		$29.87	$34.20	$574.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $29.88 / $34.20	Professional		$29.88	$29.88	$34.20
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 $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $60.00 / $1,500.00	Professional		$21.20	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $30.60 / $30.60	Facility		$23.94	$30.60	$30.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00