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 / $1,122.02	Professional		$34.67	$47.86	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $676.08	Professional		$165.96	$338.84	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $645.65	Professional		$407.38	$501.19	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $501.19 / $645.65	Professional		$147.91	$501.19	$645.65
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 $436.52 / $602.56 / $741.31	Professional		$436.52	$602.56	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $87.10	Professional		$42.66	$57.54	$87.10