Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.51 / $270.52 / $356.79	Facility		$87.51	$270.52	$356.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $82.39 / $155.27	Professional		$57.03	$82.39	$155.27
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 $46.42 / $87.32 / $127.35	Professional		$46.42	$87.32	$127.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $99.19 / $149.11	Professional		$68.09	$99.19	$149.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $32.34 / $125.39	Professional		$25.07	$32.34	$125.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $81.62 / $119.53	Facility		$57.82	$81.62	$119.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $107.73 / $169.53	Professional		$68.41	$107.73	$169.53
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 $92.02 / $125.40 / $196.83	Professional		$92.02	$125.40	$196.83