Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $2,145.78 / $7,838.38	Facility		$37.75	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $37.75 / $77.90	Professional		$28.32	$37.75	$77.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.96 / $534.89 / $896.08	Facility		$222.96	$534.89	$896.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $42.72 / $56.78	Professional		$21.35	$42.72	$56.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $53.08 / $68.70	Professional		$34.36	$53.08	$68.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $32.69 / $57.88	Professional		$10.89	$32.69	$57.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $43.28 / $58.51	Facility		$32.76	$43.28	$58.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $53.08 / $69.73	Professional		$35.38	$53.08	$69.73
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 $45.90 / $58.14 / $87.70	Professional		$45.90	$58.14	$87.70