Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $199.53 / $7,762.47	Facility		$81.28	$199.53	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $363.08	Professional		$53.70	$120.23	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $537.03	Facility		$147.91	$323.59	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $173.78	Professional		$74.13	$93.33	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $204.17	Professional		$74.13	$120.23	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $190.55	Professional		$32.36	$38.90	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $190.55	Facility		$66.07	$107.15	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $218.78	Professional		$72.44	$120.23	$218.78
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 $77.62 / $117.49 / $239.88	Professional		$77.62	$117.49	$239.88