Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $61.94 / $61.94	Facility		$61.94	$61.94	$61.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $72.19 / $113.62	Professional		$61.94	$72.19	$113.62
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 $45.51 / $45.51 / $84.82	Professional		$45.51	$45.51	$84.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $101.17 / $129.96	Professional		$77.56	$101.17	$129.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $49.93 / $107.68	Professional		$10.87	$49.93	$107.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $82.94 / $103.95	Facility		$65.16	$82.94	$103.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $103.01 / $129.96	Professional		$77.56	$103.01	$129.96
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 $87.86 / $110.00 / $169.85	Professional		$87.86	$110.00	$169.85