Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $2,095.00 / $7,838.38	Facility		$30.48	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $30.46 / $161.13	Professional		$16.32	$30.46	$161.13
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 $19.62 / $32.70 / $49.69	Professional		$19.62	$32.70	$49.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $37.68 / $58.95	Professional		$18.32	$37.68	$58.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $32.34 / $49.18	Professional		$5.55	$32.34	$49.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $41.52 / $59.54	Facility		$22.64	$41.52	$59.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $39.01 / $65.29	Professional		$22.82	$39.01	$65.29
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 $46.56 / $57.00 / $69.30	Professional		$46.56	$57.00	$69.30