Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $2,095.00 / $7,838.38	Facility		$55.69	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $52.43 / $232.00	Professional		$28.35	$52.43	$232.00
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 $25.81 / $43.01 / $76.40	Professional		$25.81	$43.01	$76.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $49.78 / $89.99	Professional		$31.42	$49.78	$89.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $48.17 / $85.56	Professional		$9.63	$48.17	$85.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.07 / $48.21 / $90.70	Facility		$29.07	$48.21	$90.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $56.73 / $101.87	Professional		$35.78	$56.73	$101.87
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,084.00 / $1,401.00	Facility		$230.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $80.36 / $101.40	Professional		$57.31	$80.36	$101.40