Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $27.23 / $65.75	Facility		$27.23	$27.23	$65.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $45.68 / $92.36	Professional		$27.23	$45.68	$92.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $355.50 / $355.50 / $355.50	Professional	50	$355.50	$355.50	$355.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $378.98 / $636.61	Facility		$106.55	$378.98	$636.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $44.81 / $86.64	Professional		$26.89	$44.81	$86.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $59.01 / $95.60	Professional		$37.14	$59.01	$95.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $32.34 / $89.02	Professional		$17.80	$32.34	$89.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.97 / $50.28 / $71.56	Facility		$26.97	$50.28	$71.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $61.10 / $120.60	Professional		$38.81	$61.10	$120.60
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 $58.11 / $84.60 / $125.62	Professional		$58.11	$84.60	$125.62