Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.05 / $2,145.78 / $7,838.38	Facility		$125.05	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $113.94 / $200.36	Professional		$83.19	$113.94	$200.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $106.89 / $165.37	Professional		$57.65	$106.89	$165.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $146.88 / $210.70	Professional		$89.87	$146.88	$210.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $174.08	Professional		$32.34	$32.34	$174.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $125.68 / $223.87	Facility		$40.60	$125.68	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $153.19 / $245.79	Professional		$99.36	$153.19	$245.79
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $160.05 / $248.84	Professional		$117.00	$160.05	$248.84