Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $382.28 / $7,838.38	Facility		$128.00	$382.28	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $115.76 / $380.72	Professional		$69.83	$115.76	$380.72
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 $70.55 / $117.59 / $184.05	Professional		$70.55	$117.59	$184.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $127.30 / $212.15	Professional		$77.04	$127.30	$212.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $100.28 / $201.91	Professional		$22.69	$100.28	$201.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $173.44 / $246.72	Facility		$92.30	$173.44	$246.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $141.36 / $240.34	Professional		$80.98	$141.36	$240.34
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,084.00 / $1,401.00	Facility		$230.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $216.60 / $265.10	Professional		$149.41	$216.60	$265.10