Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.20 / $101.20 / $131.04	Facility		$101.20	$101.20	$131.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $129.04 / $211.44	Professional		$95.95	$129.04	$211.44
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 $75.56 / $134.77 / $206.96	Professional		$75.56	$134.77	$206.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $169.72 / $234.62	Professional		$113.28	$169.72	$234.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $183.68	Professional		$32.34	$32.34	$183.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.36 / $151.86 / $207.80	Facility		$104.36	$151.86	$207.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $180.33 / $260.51	Professional		$121.99	$180.33	$260.51
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 $154.88 / $193.61 / $263.51	Professional		$154.88	$193.61	$263.51