Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.06 / $2,095.00 / $7,838.38	Facility		$58.06	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $103.79 / $609.00	Professional		$57.00	$103.79	$609.00
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 $52.06 / $86.77 / $173.96	Professional		$52.06	$86.77	$173.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $112.70 / $215.69	Professional		$63.95	$112.70	$215.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $60.33 / $201.61	Professional		$22.79	$60.33	$201.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.94 / $102.58 / $217.00	Facility		$60.94	$102.58	$217.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $117.01 / $260.47	Professional		$71.95	$117.01	$260.47
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 $117.82 / $186.39 / $259.35	Professional		$117.82	$186.39	$259.35