Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $275.42 / $7,762.47	Facility		$218.78	$275.42	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $426.58	Professional		$131.83	$162.18	$426.58
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 $128.82 / $186.21 / $229.09	Professional		$128.82	$186.21	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $588.84	Professional		$120.23	$208.93	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $190.55 / $295.12	Facility		$138.04	$190.55	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $346.74	Professional		$147.91	$213.80	$346.74
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 $151.36 / $208.93 / $295.12	Professional		$151.36	$208.93	$295.12