Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $954.99	Professional		$34.67	$47.86	$954.99
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $269.15 / $426.58 / $549.54	Professional	QX	$269.15	$426.58	$549.54
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $295.12 / $309.03 / $489.78	Professional	QY	$295.12	$309.03	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $239.88	Professional		$109.65	$229.09	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $398.11	Professional		$251.19	$316.23	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $309.03 / $398.11	Professional		$91.20	$309.03	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $5,370.32	Facility		$2,398.83	$3,311.31	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $501.19	Professional		$275.42	$371.54	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10