Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.54 / $2,095.00 / $7,838.38	Facility		$71.54	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $114.93 / $398.30	Professional		$62.64	$114.93	$398.30
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 $58.21 / $106.61 / $222.99	Professional		$58.21	$106.61	$222.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $127.93 / $247.21	Professional		$77.70	$127.93	$247.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $60.33 / $230.06	Professional		$25.91	$60.33	$230.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $121.38 / $244.88	Facility		$70.98	$121.38	$244.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $141.52 / $296.45	Professional		$83.53	$141.52	$296.45
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 $126.89 / $192.50 / $293.14	Professional		$126.89	$192.50	$293.14