Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $2,095.00 / $7,838.38	Facility		$81.90	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $54.46 / $148.90	Professional		$24.17	$54.46	$148.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $325.83 / $530.94	Facility		$88.86	$325.83	$530.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $47.88 / $97.11	Professional		$26.59	$47.88	$97.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $50.09 / $124.81	Professional		$23.87	$50.09	$124.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $60.33 / $119.79	Professional		$13.60	$60.33	$119.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $56.05 / $133.16	Facility		$29.88	$56.05	$133.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $63.96 / $128.68	Professional		$29.03	$63.96	$128.68
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 $63.64 / $93.48 / $136.50	Professional		$63.64	$93.48	$136.50