Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.22 / $2,095.00 / $7,838.38	Facility		$37.22	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $59.99 / $161.58	Professional		$28.85	$59.99	$161.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $514.57 / $882.45	Facility		$147.69	$514.57	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $57.39 / $133.22	Professional		$34.43	$57.39	$133.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $69.04 / $165.81	Professional		$38.22	$69.04	$165.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $87.27 / $153.12	Professional		$17.45	$87.27	$153.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $65.51 / $166.56	Facility		$36.72	$65.51	$166.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $75.23 / $179.95	Professional		$39.89	$75.23	$179.95
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 $74.40 / $116.29 / $194.35	Professional		$74.40	$116.29	$194.35