Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.87 / $2,095.00 / $7,838.38	Facility		$192.87	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.11 / $333.04 / $761.33	Professional		$181.11	$333.04	$761.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $284.36 / $538.14	Professional		$121.61	$284.36	$538.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.35 / $315.12 / $571.83	Professional		$186.35	$315.12	$571.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.98 / $516.50	Professional		$32.34	$61.98	$516.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.11 / $281.39 / $410.73	Facility		$181.11	$281.39	$410.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.21 / $352.36 / $690.26	Professional		$219.21	$352.36	$690.26
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 $294.00 / $460.35 / $681.93	Professional		$294.00	$460.35	$681.93