Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $2,145.78 / $7,838.38	Facility		$139.91	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $126.75 / $232.78	Professional		$71.50	$126.75	$232.78
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 $73.84 / $123.06 / $214.97	Professional		$73.84	$123.06	$214.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $149.51 / $229.95	Professional		$82.71	$149.51	$229.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $100.28 / $215.73	Professional		$24.36	$100.28	$215.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.66 / $190.53 / $271.97	Facility		$94.66	$190.53	$271.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.61 / $146.06 / $263.26	Professional		$94.61	$146.06	$263.26
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 $196.00 / $236.88 / $304.92	Professional		$196.00	$236.88	$304.92