Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $7,762.47	Facility		$117.49	$199.53	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $363.08	Professional		$70.79	$125.89	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,621.81 / $2,630.27	Facility		$741.31	$1,621.81	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $147.91	Professional		$100.00	$112.20	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $204.17	Professional		$89.13	$131.83	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $190.55	Professional		$32.36	$35.48	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $117.49 / $186.21	Facility		$74.13	$117.49	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $208.93	Professional		$89.13	$134.90	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,090.30	Facility		$416.87	$2,511.89	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $208.93	Professional		$89.13	$138.04	$208.93