Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $488.17 / $7,838.38	Facility		$104.73	$488.17	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $88.85 / $425.00	Professional		$46.24	$88.85	$425.00
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 $50.23 / $83.72 / $152.47	Professional		$50.23	$83.72	$152.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $95.20 / $181.24	Professional		$56.55	$95.20	$181.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $60.33 / $169.94	Professional		$19.22	$60.33	$169.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $88.17 / $180.93	Facility		$59.08	$88.17	$180.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $103.45 / $183.64	Professional		$59.60	$103.45	$183.64
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 $85.51 / $151.79 / $204.10	Professional		$85.51	$151.79	$204.10