Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $5,000.27 / $7,838.38	Facility		$29.50	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Professional		$29.50	$29.50	$29.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $569.63 / $2,088.69 / $3,403.51	Facility		$569.63	$2,088.69	$3,403.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $386.77	Professional		$60.00	$60.00	$386.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Facility		$29.50	$29.50	$29.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
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