Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $2,095.00 / $7,838.38	Facility		$68.48	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $113.62 / $176.42	Professional		$66.81	$113.62	$176.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $104.37 / $196.64	Professional		$62.62	$104.37	$196.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $124.82 / $239.93	Professional		$76.30	$124.82	$239.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $105.80 / $224.55	Professional		$25.30	$105.80	$224.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $119.84 / $239.18	Facility		$71.09	$119.84	$239.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $138.57 / $286.70	Professional		$84.72	$138.57	$286.70
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 $122.92 / $204.93 / $285.33	Professional		$122.92	$204.93	$285.33