Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.02 / $318.75 / $976.80	Facility		$55.02	$318.75	$976.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $90.42 / $361.00	Professional		$45.67	$90.42	$361.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $525.33 / $882.45	Facility		$147.69	$525.33	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $81.18 / $128.99	Professional		$48.71	$81.18	$128.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $89.36 / $149.87	Professional		$49.23	$89.36	$149.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $79.52 / $141.30	Professional		$15.90	$79.52	$141.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $134.08 / $198.78	Facility		$56.50	$134.08	$198.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $89.36 / $169.62	Professional		$59.61	$89.36	$169.62
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 $126.42 / $157.38 / $211.75	Professional		$126.42	$157.38	$211.75