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 / $378.05	Professional		$35.00	$48.00	$378.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $190.00 / $200.00	Professional		$92.15	$190.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $252.00 / $312.00	Professional		$220.00	$252.00	$312.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $280.00 / $1,500.00	Professional		$73.72	$280.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $312.00 / $405.00	Professional		$220.00	$312.00	$405.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $58.00 / $81.00	Professional		$45.00	$58.00	$81.00