Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $393.86 / $1,000.00	Facility		$255.00	$393.86	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $107.81 / $407.00	Professional		$54.25	$107.81	$407.00
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 $59.87 / $99.78 / $154.07	Professional		$59.87	$99.78	$154.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $113.80 / $179.32	Professional		$61.60	$113.80	$179.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.99 / $94.98 / $169.45	Professional		$18.99	$94.98	$169.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $138.37 / $210.32	Facility		$70.23	$138.37	$210.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $113.80 / $204.00	Professional		$70.23	$113.80	$204.00
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 $154.35 / $185.64 / $224.95	Professional		$154.35	$185.64	$224.95