Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.95 / $85.44	Professional		$67.27	$67.95	$85.44
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 $2.95 / $58.66 / $78.20	Professional		$2.95	$58.66	$78.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $75.45 / $103.70	Professional		$52.82	$75.45	$103.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $67.27 / $81.45	Facility		$65.59	$67.27	$81.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $97.75	Professional		$67.27	$67.27	$97.75
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27