Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $204.17 / $7,762.47	Facility		$107.15	$204.17	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $288.40	Professional		$70.79	$123.03	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $812.83	Facility		$199.53	$489.78	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $151.36	Professional		$100.00	$112.20	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $204.17	Professional		$97.72	$138.04	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $177.83	Professional		$32.36	$35.48	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $186.21	Facility		$83.18	$123.03	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $208.93	Professional		$95.50	$138.04	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $218.78	Professional		$100.00	$144.54	$218.78