Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.52 / $1,047.00 / $7,838.38	Facility		$120.52	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $91.64 / $203.20	Professional		$67.93	$91.64	$203.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.37 / $1,886.07 / $3,073.33	Facility		$514.37	$1,886.07	$3,073.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $113.71 / $196.85	Professional		$53.80	$113.71	$196.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $123.44 / $198.03	Professional		$82.77	$123.44	$198.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.08	Professional		$32.34	$32.34	$165.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $103.35 / $135.22	Facility		$71.70	$103.35	$135.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $134.38 / $224.89	Professional		$85.65	$134.38	$224.89
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 $109.80 / $155.55 / $232.27	Professional		$109.80	$155.55	$232.27