Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $43.47 / $74.20	Facility		$43.47	$43.47	$74.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $61.89 / $133.12	Professional		$40.21	$61.89	$133.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $514.57 / $882.45	Facility		$147.69	$514.57	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $63.90 / $109.86	Professional		$38.34	$63.90	$109.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $75.56 / $125.49	Professional		$47.43	$75.56	$125.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $67.72 / $122.27	Professional		$13.54	$67.72	$122.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $70.51 / $122.20	Facility		$47.07	$70.51	$122.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $82.96 / $126.25	Professional		$52.30	$82.96	$126.25
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 $75.04 / $106.59 / $135.85	Professional		$75.04	$106.59	$135.85