Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $320.45 / $693.90	Facility		$68.75	$320.45	$693.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $87.93 / $170.82	Professional		$62.39	$87.93	$170.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $869.64 / $1,417.06	Facility		$237.17	$869.64	$1,417.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $99.09 / $147.22	Professional		$52.10	$99.09	$147.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $108.02 / $166.61	Professional		$73.39	$108.02	$166.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $32.34 / $139.04	Professional		$27.80	$32.34	$139.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.05 / $90.63 / $126.38	Facility		$65.05	$90.63	$126.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $120.33 / $187.73	Professional		$75.36	$120.33	$187.73
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 $99.33 / $137.01 / $207.89	Professional		$99.33	$137.01	$207.89