Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $2,095.00 / $7,838.38	Facility		$50.11	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $260.31	Professional		$45.89	$127.09	$260.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $2,518.91 / $3,911.84	Facility		$728.01	$2,518.91	$3,911.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $48.12 / $48.12	Professional		$48.12	$48.12	$48.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $157.41	Professional		$122.50	$122.50	$157.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $51.00 / $494.31	Professional		$35.70	$51.00	$494.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $260.31	Facility		$45.89	$127.09	$260.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00