Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $33.69 / $46.41	Facility		$33.69	$33.69	$46.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $53.29 / $75.00	Professional		$36.96	$53.29	$75.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.29 / $54.29 / $54.29	Professional	25	$54.29	$54.29	$54.29
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 $31.54 / $54.07 / $79.26	Professional		$31.54	$54.07	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $58.26	Professional		$55.95	$55.95	$58.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $48.23 / $71.14	Facility		$34.77	$48.23	$71.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $55.95 / $58.26	Professional		$39.76	$55.95	$58.26
United Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $90.78 / $123.86	Professional		$63.36	$90.78	$123.86