Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.01 / $2,145.78 / $7,838.38	Facility		$146.01	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $139.86 / $258.02	Professional		$91.15	$139.86	$258.02
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 $66.53 / $129.22 / $218.50	Professional		$66.53	$129.22	$218.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $154.21 / $237.00	Professional		$101.48	$154.21	$237.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $105.80 / $225.27	Professional		$25.16	$105.80	$225.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $143.97 / $237.14	Facility		$87.56	$143.97	$237.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $171.79 / $276.94	Professional		$112.83	$171.79	$276.94
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 $150.09 / $215.22 / $296.99	Professional		$150.09	$215.22	$296.99