Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $1,047.00 / $7,838.38	Facility		$69.16	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $65.25 / $299.00	Professional		$44.25	$65.25	$299.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $514.57 / $882.45	Facility		$147.69	$514.57	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $59.41 / $102.89	Professional		$32.71	$59.41	$102.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $74.11 / $110.99	Professional		$47.91	$74.11	$110.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $59.25 / $105.40	Professional		$11.85	$59.25	$105.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.51 / $64.63 / $108.14	Facility		$46.51	$64.63	$108.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $81.75 / $128.02	Professional		$54.50	$81.75	$128.02
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $106.39 / $138.65	Professional		$75.68	$106.39	$138.65