Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $284.24 / $326.80	Facility		$120.00	$284.24	$326.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $66.62 / $178.16	Professional		$45.13	$66.62	$178.16
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 $36.64 / $64.15 / $100.53	Professional		$36.64	$64.15	$100.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $80.78 / $122.67	Professional		$53.85	$80.78	$122.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.34 / $103.29	Professional		$20.65	$32.34	$103.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.07 / $64.34 / $92.74	Facility		$45.07	$64.34	$92.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $86.95 / $139.66	Professional		$54.84	$86.95	$139.66
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 $74.58 / $103.32 / $141.44	Professional		$74.58	$103.32	$141.44