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 / $240.00	Professional		$110.58	$228.00	$240.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $800.00 / $1,000.00	Professional		$275.00	$800.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $496.00 / $1,500.00	Professional		$147.44	$496.00	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $469.38 / $1,000.00	Professional		$350.00	$469.38	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $60.00 / $88.00	Professional		$44.00	$60.00	$88.00