Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $102.33 / $165.96	Facility		$97.72	$102.33	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $251.19	Professional		$61.66	$93.33	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $389.05 / $630.96	Facility		$177.83	$389.05	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $144.54	Professional		$77.62	$100.00	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $269.15	Professional		$69.18	$104.71	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $165.96	Facility		$61.66	$102.33	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $186.21	Professional		$72.44	$109.65	$186.21
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 $75.86 / $109.65 / $165.96	Professional		$75.86	$109.65	$165.96