Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.28 / $2,145.78 / $7,838.38	Facility		$169.28	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $134.88 / $298.98	Professional		$37.40	$134.88	$298.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $153.25 / $278.00	Professional		$58.89	$153.25	$278.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $178.33 / $289.99	Professional		$56.35	$178.33	$289.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $139.88 / $246.77	Professional		$32.34	$139.88	$246.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $43.40 / $143.84	Facility		$43.40	$43.40	$143.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $178.33 / $289.99	Professional		$59.28	$178.33	$289.99
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.20 / $261.80 / $376.04	Professional		$214.20	$261.80	$376.04