Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $125.04 / $157.22	Professional		$123.80	$125.04	$157.22
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 $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.00 / $209.34	Professional		$60.00	$85.00	$209.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $157.22	Facility		$123.80	$123.80	$157.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $161.97	Professional		$123.80	$123.80	$161.97
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80