Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.12 / $229.52 / $7,838.38	Facility		$218.12	$229.52	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.55 / $438.19	Professional		$90.04	$159.55	$438.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $539.67 / $879.40	Facility		$147.18	$539.67	$879.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $149.21 / $300.30	Professional		$89.53	$149.21	$300.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $184.67 / $380.35	Professional		$112.69	$184.67	$380.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $99.93 / $361.53	Professional		$32.34	$99.93	$361.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.35 / $172.68 / $402.89	Facility		$91.35	$172.68	$402.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $193.00 / $394.19	Professional		$114.71	$193.00	$394.19
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $269.49 / $414.13	Professional		$181.80	$269.49	$414.13