Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.19 / $1,000.00 / $7,838.38	Facility		$88.19	$1,000.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $74.01 / $323.00	Professional		$32.59	$74.01	$323.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.19 / $652.42 / $81,099.99	Facility		$539.19	$652.42	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $63.14 / $114.05	Professional		$37.88	$63.14	$114.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $67.03 / $137.40	Professional		$38.79	$67.03	$137.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $72.08 / $125.00	Professional		$14.41	$72.08	$125.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $69.68 / $137.72	Facility		$34.29	$69.68	$137.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $72.48 / $147.62	Professional		$40.18	$72.48	$147.62
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 $81.42 / $118.59 / $191.19	Professional		$81.42	$118.59	$191.19