Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $7,762.47	Facility		$120.23	$165.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $213.80	Professional		$77.62	$97.72	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $117.49	Professional		$57.54	$107.15	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $162.18	Professional		$97.72	$128.82	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $151.36	Professional		$28.18	$33.11	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $120.23 / $154.88	Facility		$75.86	$120.23	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $173.78	Professional		$97.72	$131.83	$173.78
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 $102.33 / $141.25 / $173.78	Professional		$102.33	$141.25	$173.78