Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.56 / $2,113.56 / $2,113.56	Facility		$2,113.56	$2,113.56	$2,113.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $137.47 / $2,929.00	Professional		$137.47	$137.47	$2,929.00
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 Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $85.00	Professional		$60.00	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $2,929.00 / $2,929.00	Facility		$6.80	$2,929.00	$2,929.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00