Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Facility		$47.58	$47.58	$47.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $44.47 / $72.41	Professional		$38.33	$44.47	$72.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.40 / $1,183.68 / $1,982.98	Facility		$493.40	$1,183.68	$1,982.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $70.25 / $85.79	Professional		$53.85	$70.25	$85.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.62 / $68.62 / $232.10	Professional		$68.62	$68.62	$232.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $64.68 / $71.95	Facility		$53.85	$64.68	$71.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $70.25 / $85.79	Professional		$53.48	$70.25	$85.79
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,401.00	Facility		$775.00	$1,327.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.62 / $72.36 / $102.70	Professional		$57.62	$72.36	$102.70