Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $38.59 / $2,673.50	Professional		$38.59	$38.59	$2,673.50
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 Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,500.00 / $1,500.00	Professional		$85.00	$1,500.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $9.74 / $9.74	Facility		$9.74	$9.74	$9.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $125.40 / $125.40	Professional		$125.40	$125.40	$125.40