Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $5,000.27 / $7,838.38	Facility		$153.91	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $147.18 / $258.45	Professional		$107.31	$147.18	$258.45
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 $79.81 / $140.03 / $212.23	Professional		$79.81	$140.03	$212.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.11 / $170.99 / $249.60	Professional		$119.11	$170.99	$249.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $105.80 / $237.49	Professional		$26.76	$105.80	$237.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.44 / $158.19 / $237.24	Facility		$117.44	$158.19	$237.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $199.49 / $269.01	Professional		$130.19	$199.49	$269.01
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 $158.72 / $215.11 / $308.94	Professional		$158.72	$215.11	$308.94