Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $28.18 / $45.53	Professional		$24.27	$28.18	$45.53
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $34.13 / $57.07	Professional		$20.04	$34.13	$57.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $44.69 / $54.65	Professional		$34.26	$44.69	$54.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $232.10	Professional		$43.15	$43.15	$232.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $45.99 / $70.55	Facility		$34.26	$45.99	$70.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $44.69 / $54.65	Professional		$33.86	$44.69	$54.65
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $45.64 / $65.56	Professional		$36.97	$45.64	$65.56