Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $245.47 / $7,762.47	Facility		$199.53	$245.47	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $371.54	Professional		$114.82	$141.25	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $616.60 / $1,000.00	Facility		$281.84	$616.60	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $213.80	Professional		$114.82	$169.82	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $512.86	Professional		$104.71	$181.97	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $245.47	Facility		$117.49	$158.49	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $302.00	Professional		$128.82	$181.97	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $263.03	Professional		$125.89	$181.97	$263.03