Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.31 / $2,145.78 / $7,838.38	Facility		$137.31	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.11 / $122.07 / $248.26	Professional		$83.11	$122.07	$248.26
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 / $105.87 / $198.23	Professional		$61.21	$105.87	$198.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $140.12 / $220.30	Professional		$92.31	$140.12	$220.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $105.80 / $210.71	Professional		$23.60	$105.80	$210.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.01 / $131.90 / $224.15	Facility		$79.01	$131.90	$224.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $160.94 / $259.25	Professional		$102.81	$160.94	$259.25
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 $140.53 / $200.94 / $256.08	Professional		$140.53	$200.94	$256.08