Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.84 / $1,000.00 / $7,838.38	Facility		$165.84	$1,000.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $159.91 / $356.35	Professional		$112.79	$159.91	$356.35
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.93 / $1,037.45 / $1,690.51	Facility		$282.93	$1,037.45	$1,690.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $137.21 / $233.51	Professional		$82.33	$137.21	$233.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $178.59 / $267.36	Professional		$104.60	$178.59	$267.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $139.75 / $248.25	Professional		$27.95	$139.75	$248.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.76 / $180.79 / $264.99	Facility		$128.76	$180.79	$264.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $192.19 / $313.24	Professional		$122.35	$192.19	$313.24
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 $179.51 / $250.20 / $315.27	Professional		$179.51	$250.20	$315.27