Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $2,145.78 / $7,838.38	Facility		$65.73	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $54.72 / $146.15	Professional		$37.32	$54.72	$146.15
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 $31.56 / $54.33 / $92.45	Professional		$31.56	$54.33	$92.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $69.37 / $107.60	Professional		$44.74	$69.37	$107.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $32.34 / $91.87	Professional		$18.37	$32.34	$91.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $57.58 / $81.77	Facility		$40.89	$57.58	$81.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $73.75 / $123.84	Professional		$46.93	$73.75	$123.84
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 $63.36 / $86.51 / $135.00	Professional		$63.36	$86.51	$135.00