Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.86 / $1,792.93 / $10,086.44	Facility		$375.86	$1,792.93	$10,086.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $83.93 / $320.16	Professional		$42.32	$83.93	$320.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.93 / $1,037.45 / $1,690.51	Facility		$282.93	$1,037.45	$1,690.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $80.93 / $154.33	Professional		$48.56	$80.93	$154.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.83 / $97.18 / $202.00	Professional		$55.83	$97.18	$202.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $108.11 / $191.98	Professional		$21.62	$108.11	$191.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $89.92 / $205.53	Facility		$48.66	$89.92	$205.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $111.63 / $215.33	Professional		$63.86	$111.63	$215.33
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $172.97 / $251.24	Professional		$84.61	$172.97	$251.24