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 / $50.12 / $1,202.26	Professional		$34.67	$50.12	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $239.88	Professional		$109.65	$229.09	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $398.11	Professional		$251.19	$316.23	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $309.03 / $398.11	Professional		$91.20	$309.03	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $177.83 / $4,073.80	Facility		$30.20	$177.83	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $501.19	Professional		$275.42	$371.54	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10