Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $42.40 / $84.81	Facility		$21.20	$42.40	$84.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $32.63 / $33.92	Professional		$26.85	$32.63	$33.92
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 $15.03 / $19.54 / $23.12	Professional		$15.03	$19.54	$23.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $18.38	Facility		$18.38	$18.38	$18.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $29.25 / $36.56	Professional		$14.86	$29.25	$36.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $15.55	Professional		$15.55	$15.55	$15.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $26.86 / $33.92	Facility		$18.38	$26.86	$33.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $28.27 / $28.62	Professional		$14.86	$28.27	$28.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.66 / $16.96	Professional		$11.87	$14.66	$16.96