Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $26.98 / $30.00	Professional		$4.94	$26.98	$30.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $255.00 / $300.00	Professional		$23.63	$255.00	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.00 / $51.44	Professional		$19.00	$24.00	$51.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,500.00	Professional		$50.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $26.98 / $33.00	Facility		$4.94	$26.98	$33.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $21.60 / $28.56	Professional		$15.00	$21.60	$28.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $11.25 / $26.32	Professional		$7.16	$11.25	$26.32