Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.24 / $2,145.78 / $7,838.38	Facility		$145.24	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $134.71 / $591.00	Professional		$83.44	$134.71	$591.00
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 $61.21 / $113.62 / $205.87	Professional		$61.21	$113.62	$205.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $144.59 / $232.40	Professional		$92.67	$144.59	$232.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $105.80 / $221.24	Professional		$24.84	$105.80	$221.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.79 / $132.46 / $236.91	Facility		$79.79	$132.46	$236.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.92 / $164.43 / $264.74	Professional		$103.92	$164.43	$264.74
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 $144.90 / $202.37 / $290.64	Professional		$144.90	$202.37	$290.64