Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $22.68 / $22.68	Facility		$22.68	$22.68	$22.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $21.49 / $23.10	Professional		$20.14	$21.49	$23.10
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 $10.55 / $22.89 / $43.89	Professional		$10.55	$22.89	$43.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.81 / $23.81	Professional		$23.81	$23.81	$23.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $32.34 / $32.70	Professional		$27.25	$32.34	$32.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $16.96 / $26.59	Facility		$12.20	$16.96	$26.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $46.80 / $59.96	Professional		$23.81	$46.80	$59.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.25 / $31.68 / $53.46	Professional		$20.25	$31.68	$53.46