Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.44 / $954.00 / $2,145.78	Facility		$100.44	$954.00	$2,145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $164.79 / $816.74	Professional		$91.98	$164.79	$816.74
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 $92.22 / $153.69 / $218.67	Professional		$92.22	$153.69	$218.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.57 / $207.22 / $309.12	Professional		$128.57	$207.22	$309.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $134.81 / $239.27	Professional		$26.96	$134.81	$239.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $118.46 / $190.83 / $272.89	Facility		$118.46	$190.83	$272.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $236.99 / $317.13	Professional		$130.84	$236.99	$317.13
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 $218.05 / $276.63 / $526.13	Professional		$218.05	$276.63	$526.13