Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $1,000.00	Professional		$34.67	$47.86	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $524.81	Professional		$128.82	$263.03	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $478.63	Professional		$302.00	$380.19	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $371.54 / $478.63	Professional		$109.65	$371.54	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $5,370.32	Facility		$2,398.83	$3,311.31	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $588.84	Professional		$331.13	$446.68	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10