Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.77 / $14.77 / $367.61	Facility		$14.77	$14.77	$367.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $27.10 / $501.80	Professional		$14.77	$27.10	$501.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.50 / $427.20 / $696.12	Facility		$116.50	$427.20	$696.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $200.53 / $491.76	Professional		$16.76	$200.53	$491.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $32.34 / $408.56	Professional		$8.53	$32.34	$408.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $344.47 / $589.98	Professional		$32.34	$344.47	$589.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $28.61 / $810.62	Facility		$17.21	$28.61	$810.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $34.92 / $759.02	Professional		$13.15	$34.92	$759.02
United Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $90.70 / $329.86	Professional		$75.95	$90.70	$329.86