Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.41 / $1,378.00 / $20,000.00	Facility		$122.41	$1,378.00	$20,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $137.75 / $500.99	Professional		$86.90	$137.75	$500.99
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 $82.43 / $137.38 / $225.16	Professional		$82.43	$137.38	$225.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $152.47 / $252.66	Professional		$98.25	$152.47	$252.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $134.08 / $239.27	Professional		$26.81	$134.08	$239.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $130.29 / $280.17	Facility		$70.33	$130.29	$280.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $180.54 / $283.47	Professional		$100.50	$180.54	$283.47
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.65 / $250.25 / $313.95	Professional		$195.65	$250.25	$313.95