Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.25 / $1,047.00 / $7,838.38	Facility		$110.25	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $133.97 / $513.82	Professional		$82.06	$133.97	$513.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.90 / $1,376.48 / $2,360.54	Facility		$381.90	$1,376.48	$2,360.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $132.36 / $282.68	Professional		$79.53	$132.36	$282.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $145.15 / $203.01	Professional		$97.58	$145.15	$203.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $168.17 / $295.91	Professional		$32.34	$168.17	$295.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $143.93 / $205.18	Facility		$86.52	$143.93	$205.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.16 / $156.85 / $222.05	Professional		$108.16	$156.85	$222.05
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 $163.68 / $202.99 / $256.67	Professional		$163.68	$202.99	$256.67