Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.81 / $348.08 / $2,095.00	Facility		$137.81	$348.08	$2,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $114.16 / $421.00	Professional		$59.50	$114.16	$421.00
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 $69.14 / $104.68 / $157.60	Professional		$69.14	$104.68	$157.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $122.83 / $190.10	Professional		$64.55	$122.83	$190.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $99.37 / $177.30	Professional		$19.87	$99.37	$177.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $158.59 / $231.10	Facility		$74.00	$158.59	$231.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $120.12 / $223.39	Professional		$73.11	$120.12	$223.39
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 $161.19 / $200.68 / $259.56	Professional		$161.19	$200.68	$259.56