Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $1,047.00 / $7,838.38	Facility		$82.65	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $76.59 / $194.40	Professional		$51.47	$76.59	$194.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.84 / $571.41 / $931.11	Facility		$155.84	$571.41	$931.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $74.69 / $114.45	Professional		$44.81	$74.69	$114.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $89.44 / $134.79	Professional		$59.60	$89.44	$134.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $72.16 / $128.77	Professional		$14.43	$72.16	$128.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $83.86 / $134.74	Facility		$56.42	$83.86	$134.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $98.80 / $149.44	Professional		$63.54	$98.80	$149.44
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 $87.12 / $119.85 / $152.75	Professional		$87.12	$119.85	$152.75