Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $63.04 / $79.27	Professional		$62.41	$63.04	$79.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50,000.00 / $55,999.99 / $69,999.99	Facility		$50,000.00	$55,999.99	$69,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Professional		$62.41	$62.41	$62.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $59.54 / $103.18	Professional		$41.67	$59.54	$103.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $87.51	Facility		$62.41	$62.41	$87.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $109.39	Professional		$62.41	$62.41	$109.39
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Professional		$62.41	$62.41	$62.41