Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.18 / $5,000.27 / $7,838.38	Facility		$43.18	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $47.86 / $65.13	Professional		$33.21	$47.86	$65.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.88 / $941.91 / $1,534.83	Facility		$256.88	$941.91	$1,534.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $41.55 / $90.77	Professional		$28.89	$41.55	$90.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $63.34 / $98.53	Professional		$40.47	$63.34	$98.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $32.34 / $63.38	Professional		$12.67	$32.34	$63.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $52.80 / $81.34	Facility		$36.56	$52.80	$81.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $64.75 / $100.66	Professional		$43.29	$64.75	$100.66
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $74.83 / $102.23	Professional		$54.45	$74.83	$102.23