Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $50.03 / $63.06	Facility		$50.03	$50.03	$63.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $65.59 / $523.82	Professional		$63.06	$65.59	$523.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.35 / $759.39 / $1,318.30	Facility		$206.35	$759.39	$1,318.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Facility		$63.06	$63.06	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.11 / $140.11 / $140.11	Professional		$140.11	$140.11	$140.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $181.79 / $217.67	Facility		$63.06	$181.79	$217.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06