Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $104.71 / $2,137.96	Facility		$19.50	$104.71	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $60.26 / $134.90	Professional		$14.13	$60.26	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $524.81 / $891.25	Facility		$213.80	$524.81	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $37.15 / $89.13	Professional		$18.62	$37.15	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $100.00	Professional		$20.89	$38.02	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.11 / $100.00	Professional		$19.50	$33.11	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $44.67 / $95.50	Facility		$18.62	$44.67	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $38.02 / $100.00	Professional		$18.62	$38.02	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $104.71	Professional		$25.12	$38.90	$104.71