Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.60 / $2,145.78 / $7,838.38	Facility		$124.60	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $105.57 / $195.75	Professional		$76.18	$105.57	$195.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $502.06 / $818.10	Facility		$136.91	$502.06	$818.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $112.46 / $180.19	Professional		$67.48	$112.46	$180.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $134.84 / $203.83	Professional		$88.41	$134.84	$203.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $92.96 / $190.40	Professional		$21.46	$92.96	$190.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $116.65 / $190.61	Facility		$69.08	$116.65	$190.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $154.94 / $244.61	Professional		$98.42	$154.94	$244.61
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 $130.07 / $191.40 / $243.11	Professional		$130.07	$191.40	$243.11