Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $2,095.00 / $7,838.38	Facility		$50.50	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $89.19 / $201.76	Professional		$51.10	$89.19	$201.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $514.57 / $882.45	Facility		$147.69	$514.57	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $81.86 / $162.72	Professional		$49.12	$81.86	$162.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $113.52 / $182.50	Professional		$59.34	$113.52	$182.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $96.90 / $172.41	Professional		$19.38	$96.90	$172.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $94.67 / $185.49	Facility		$74.09	$94.67	$185.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $121.54 / $186.79	Professional		$66.62	$121.54	$186.79
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.24 / $156.63 / $202.15	Professional		$103.24	$156.63	$202.15