Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $2,061.25 / $7,838.38	Facility		$141.66	$2,061.25	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $122.79 / $255.95	Professional		$92.84	$122.79	$255.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.09 / $1,617.39 / $2,635.51	Facility		$441.09	$1,617.39	$2,635.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $126.12 / $200.79	Professional		$68.73	$126.12	$200.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $153.16 / $225.23	Professional		$104.64	$153.16	$225.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $119.57 / $211.18	Professional		$23.91	$119.57	$211.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $133.53 / $228.60	Facility		$96.17	$133.53	$228.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $174.19 / $249.49	Professional		$112.09	$174.19	$249.49
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 $140.08 / $200.20 / $258.06	Professional		$140.08	$200.20	$258.06