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 $30.00 / $48.00 / $302.44	Professional		$30.00	$48.00	$302.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $152.00 / $299.68	Professional		$73.72	$152.00	$299.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $189.00 / $234.00	Professional		$165.00	$189.00	$234.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $210.00 / $1,500.00	Professional		$55.29	$210.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $234.00 / $324.00	Professional		$165.00	$234.00	$324.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $58.00 / $88.00	Professional		$43.00	$58.00	$88.00