Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $128.41 / $128.41	Facility		$69.73	$128.41	$128.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $88.55 / $313.33	Professional		$69.73	$88.55	$313.33
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 Facility Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Facility		$69.73	$69.73	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $99.77 / $149.65	Professional		$99.77	$99.77	$149.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $73.20 / $83.74	Facility		$52.42	$73.20	$83.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73