Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $65.81 / $2,145.78	Facility		$47.56	$65.81	$2,145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $70.45 / $174.05	Professional		$48.35	$70.45	$174.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $325.83 / $530.94	Facility		$88.86	$325.83	$530.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $69.47 / $92.49	Professional		$34.44	$69.47	$92.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $86.25 / $115.13	Professional		$56.03	$86.25	$115.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $56.71 / $101.79	Professional		$11.34	$56.71	$101.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.59 / $74.54 / $108.63	Facility		$45.59	$74.54	$108.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $92.10 / $131.12	Professional		$57.13	$92.10	$131.12
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 $77.88 / $107.31 / $135.66	Professional		$77.88	$107.31	$135.66