Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.89 / $2,145.78 / $7,838.38	Facility		$81.89	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $60.57 / $118.30	Professional		$38.27	$60.57	$118.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.97 / $1,206.25 / $1,965.57	Facility		$328.97	$1,206.25	$1,965.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $63.82 / $97.81	Professional		$38.29	$63.82	$97.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $74.59 / $128.40	Professional		$46.24	$74.59	$128.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $68.51 / $120.05	Professional		$13.70	$68.51	$120.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $64.54 / $138.68	Facility		$33.38	$64.54	$138.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.12 / $82.57 / $132.94	Professional		$48.12	$82.57	$132.94
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 $89.18 / $115.26 / $143.78	Professional		$89.18	$115.26	$143.78