Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $43.48 / $43.48	Facility		$43.48	$43.48	$43.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $40.61 / $65.79	Professional		$35.15	$40.61	$65.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.61 / $2,026.22 / $3,394.46	Facility		$844.61	$2,026.22	$3,394.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $64.23 / $78.18	Professional		$49.25	$64.23	$78.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $62.35 / $397.32	Professional		$62.35	$62.35	$397.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $56.42 / $65.33	Facility		$49.25	$56.42	$65.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $64.23 / $78.18	Professional		$49.05	$64.23	$78.18
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 $53.99 / $66.00 / $94.02	Professional		$53.99	$66.00	$94.02