Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $1,047.00 / $7,838.38	Facility		$171.15	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $169.54 / $302.70	Professional		$101.49	$169.54	$302.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $502.06 / $818.10	Facility		$136.91	$502.06	$818.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $158.28 / $241.88	Professional		$94.97	$158.28	$241.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $197.17 / $304.76	Professional		$122.19	$197.17	$304.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $92.96 / $275.16	Professional		$30.93	$92.96	$275.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $186.11 / $291.39	Facility		$113.93	$186.11	$291.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $215.46 / $370.96	Professional		$140.38	$215.46	$370.96
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 $214.57 / $283.05 / $390.59	Professional		$214.57	$283.05	$390.59