Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $2,145.78 / $7,838.38	Facility		$24.40	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $23.35 / $90.79	Professional		$14.94	$23.35	$90.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.66 / $442.44 / $720.94	Facility		$120.66	$442.44	$720.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $24.96 / $37.21	Professional		$14.98	$24.96	$37.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.12 / $39.72	Professional		$17.98	$27.12	$39.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $32.34 / $37.10	Professional		$4.21	$32.34	$37.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $22.90 / $41.63	Facility		$12.95	$22.90	$41.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $30.50 / $49.42	Professional		$18.09	$30.50	$49.42
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 $34.40 / $40.79 / $55.20	Professional		$34.40	$40.79	$55.20