Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.12 / $2,145.78 / $7,838.38	Facility		$118.12	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $118.12 / $368.80	Professional		$106.00	$118.12	$368.80
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 $89.91 / $171.77 / $260.98	Professional		$89.91	$171.77	$260.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $172.84 / $222.53	Professional		$105.59	$172.84	$222.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $110.20 / $132.24	Professional		$22.04	$110.20	$132.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.51 / $138.37 / $202.52	Facility		$101.51	$138.37	$202.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $172.84 / $209.26	Professional		$119.20	$172.84	$209.26
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 $132.44 / $174.43 / $277.02	Professional		$132.44	$174.43	$277.02