Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $28.55 / $240.00	Facility		$18.14	$28.55	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $28.55 / $40.78	Professional		$18.14	$28.55	$40.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $68.11 / $68.11 / $68.11	Professional	50	$68.11	$68.11	$68.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $390.68 / $636.61	Facility		$106.55	$390.68	$636.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $24.21 / $41.95	Professional		$14.53	$24.21	$41.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $38.27 / $60.48	Professional		$24.57	$38.27	$60.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $32.34 / $39.61	Professional		$7.92	$32.34	$39.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $37.95 / $55.32	Facility		$18.67	$37.95	$55.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $38.90 / $61.50	Professional		$25.31	$38.90	$61.50
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 $36.35 / $49.51 / $70.45	Professional		$36.35	$49.51	$70.45