Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.14 / $2,095.00 / $7,838.38	Facility		$69.14	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $115.37 / $244.10	Professional		$67.56	$115.37	$244.10
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 $65.14 / $108.56 / $205.51	Professional		$65.14	$108.56	$205.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $120.75 / $232.21	Professional		$74.26	$120.75	$232.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $60.33 / $214.75	Professional		$24.43	$60.33	$214.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $117.16 / $224.39	Facility		$78.77	$117.16	$224.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.02 / $137.44 / $278.77	Professional		$86.02	$137.44	$278.77
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 $110.95 / $174.35 / $284.05	Professional		$110.95	$174.35	$284.05