Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.12 / $2,145.78 / $7,838.38	Facility		$203.12	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $173.65 / $238.93	Professional		$119.31	$173.65	$238.93
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 $92.40 / $176.66 / $302.14	Professional		$92.40	$176.66	$302.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.08 / $209.83 / $326.58	Professional		$139.08	$209.83	$326.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.80 / $310.82	Professional		$32.34	$105.80	$310.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.49 / $194.19 / $325.89	Facility		$122.49	$194.19	$325.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $236.07 / $375.76	Professional		$156.66	$236.07	$375.76
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 $207.39 / $295.95 / $410.98	Professional		$207.39	$295.95	$410.98