Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $1,000.00 / $7,838.38	Facility		$139.03	$1,000.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $142.84 / $389.33	Professional		$93.92	$142.84	$389.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.38 / $3,041.17 / $4,955.55	Facility		$829.38	$3,041.17	$4,955.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $142.50 / $217.83	Professional		$78.09	$142.50	$217.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $170.69 / $253.33	Professional		$115.72	$170.69	$253.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $134.29 / $238.19	Professional		$26.85	$134.29	$238.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.87 / $156.88 / $250.86	Facility		$102.87	$156.88	$250.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $190.98 / $289.14	Professional		$117.56	$190.98	$289.14
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $244.26 / $295.11	Professional		$161.00	$244.26	$295.11