Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $1,030.89 / $2,145.78	Facility		$61.08	$1,030.89	$2,145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $56.38 / $249.00	Professional		$37.71	$56.38	$249.00
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 $33.64 / $56.06 / $86.26	Professional		$33.64	$56.06	$86.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $68.91 / $108.68	Professional		$46.07	$68.91	$108.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $32.34 / $85.72	Professional		$17.14	$32.34	$85.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.42 / $63.47 / $84.76	Facility		$40.42	$63.47	$84.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.28 / $76.86 / $121.94	Professional		$48.28	$76.86	$121.94
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 $65.52 / $90.50 / $133.19	Professional		$65.52	$90.50	$133.19