Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $2,095.00 / $7,838.38	Facility		$20.44	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $42.34 / $103.01	Professional		$20.90	$42.34	$103.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $526.85 / $903.51	Facility		$151.22	$526.85	$903.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $27.54 / $49.11	Professional		$22.33	$27.54	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $56.32 / $84.93	Professional		$20.74	$56.32	$84.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $32.34 / $64.86	Professional		$9.61	$32.34	$64.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $66.30 / $79.43	Facility		$42.61	$66.30	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $61.22 / $85.38	Professional		$31.66	$61.22	$85.38
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $59.50 / $82.10	Professional		$36.75	$59.50	$82.10