Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.19 / $118.19 / $118.19	Facility		$118.19	$118.19	$118.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.65 / $145.86 / $163.63	Professional		$111.65	$145.86	$163.63
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 $12.83 / $17.10 / $24.30	Professional		$12.83	$17.10	$24.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $147.10 / $234.66	Facility		$64.00	$147.10	$234.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $31.35 / $47.02	Professional		$31.35	$31.35	$47.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $111.65 / $196.24	Facility		$14.31	$111.65	$196.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $107.38 / $147.10	Professional		$22.42	$107.38	$147.10
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $16.19 / $31.79	Professional		$11.78	$16.19	$31.79