Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.42 / $2,095.00 / $7,838.38	Facility		$71.42	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $45.89 / $163.00	Professional		$17.03	$45.89	$163.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $514.57 / $882.45	Facility		$147.69	$514.57	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $37.50 / $90.00	Professional		$18.82	$37.50	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $40.47 / $108.11	Professional		$16.67	$40.47	$108.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $58.45 / $102.66	Professional		$11.69	$58.45	$102.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $44.33 / $115.88	Facility		$20.71	$44.33	$115.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $53.19 / $111.62	Professional		$21.07	$53.19	$111.62
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $77.56 / $113.92	Professional		$52.03	$77.56	$113.92