Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.83 / $2,145.78 / $7,838.38	Facility		$94.83	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $94.83 / $296.66	Professional		$54.18	$94.83	$296.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $111.97 / $169.59	Professional		$45.14	$111.97	$169.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $90.28 / $150.13	Professional		$57.85	$90.28	$150.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $80.26 / $142.77	Professional		$16.05	$80.26	$142.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $74.73 / $162.56	Facility		$41.90	$74.73	$162.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $99.04 / $153.47	Professional		$61.38	$99.04	$153.47
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 $106.00 / $132.55 / $173.01	Professional		$106.00	$132.55	$173.01