Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $2,145.78 / $7,838.38	Facility		$44.76	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $47.39 / $241.03	Professional		$39.27	$47.39	$241.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.53 / $688.24 / $1,180.27	Facility		$197.53	$688.24	$1,180.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.27 / $54.42 / $68.84	Professional		$45.27	$54.42	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $64.34 / $76.81	Professional		$36.90	$64.34	$76.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $65.02 / $69.65	Professional		$13.00	$65.02	$69.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $65.83 / $129.38	Facility		$46.96	$65.83	$129.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $72.92 / $90.93	Professional		$46.74	$72.92	$90.93
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 $50.16 / $72.36 / $87.10	Professional		$50.16	$72.36	$87.10