Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $2,095.00 / $7,838.38	Facility		$15.80	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $19.55 / $82.00	Professional		$14.77	$19.55	$82.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $325.83 / $530.94	Facility		$88.86	$325.83	$530.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.17 / $28.16	Professional		$10.00	$21.17	$28.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $23.61 / $30.11	Professional		$15.35	$23.61	$30.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $26.23 / $32.34	Professional		$3.14	$26.23	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $21.85 / $26.75	Facility		$13.86	$21.85	$26.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $26.90 / $34.65	Professional		$16.96	$26.90	$34.65
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 $20.21 / $28.62 / $44.23	Professional		$20.21	$28.62	$44.23