Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $229.09	Professional		$81.28	$112.20	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.88 / $17.78	Professional		$9.77	$12.88	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Professional		$120.23	$120.23	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $89.13 / $275.42	Professional		$18.62	$89.13	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $204.17	Facility		$77.62	$107.15	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $134.90	Professional		$66.07	$120.23	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $91.20 / $134.90	Facility		$12.30	$91.20	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $173.78	Professional		$85.11	$97.72	$173.78