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 / $50.00 / $453.66	Professional		$35.00	$50.00	$453.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $228.00 / $452.28	Professional		$110.58	$228.00	$452.28
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 / $310.00 / $1,500.00	Professional		$92.15	$310.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $390.00 / $499.50	Professional		$275.00	$390.00	$499.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $60.00 / $90.00	Professional		$47.00	$60.00	$90.00