Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.00 / $453.66	Professional		$35.00	$48.00	$453.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $228.00 / $240.00	Professional		$110.58	$228.00	$240.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $315.00 / $390.00	Professional		$275.00	$315.00	$390.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $350.00 / $1,500.00	Professional		$92.15	$350.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $390.00 / $486.00	Professional		$275.00	$390.00	$486.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $60.00 / $88.00	Professional		$43.00	$60.00	$88.00