Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.83 / $220.40 / $2,145.78	Facility		$53.83	$220.40	$2,145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $49.79 / $148.47	Professional		$33.60	$49.79	$148.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $919.20 / $1,544.06	Facility		$258.42	$919.20	$1,544.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $49.79 / $74.20	Professional		$29.87	$49.79	$74.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $61.28 / $94.53	Professional		$41.12	$61.28	$94.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $32.34 / $74.48	Professional		$14.89	$32.34	$74.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $52.52 / $79.04	Facility		$36.07	$52.52	$79.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.02 / $67.73 / $106.53	Professional		$43.02	$67.73	$106.53
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 $57.24 / $80.36 / $119.70	Professional		$57.24	$80.36	$119.70