Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $170.50 / $921.78	Facility		$51.70	$170.50	$921.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $71.95 / $148.40	Professional		$43.78	$71.95	$148.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $390.68 / $636.61	Facility		$106.55	$390.68	$636.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $69.80 / $118.81	Professional		$41.88	$69.80	$118.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $82.01 / $144.75	Professional		$53.32	$82.01	$144.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $32.34 / $127.32	Professional		$25.46	$32.34	$127.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.94 / $73.43 / $103.78	Facility		$45.94	$73.43	$103.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $90.04 / $173.96	Professional		$55.64	$90.04	$173.96
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 $82.78 / $122.92 / $169.61	Professional		$82.78	$122.92	$169.61