Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $69.52 / $99.36	Facility		$69.52	$69.52	$99.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $82.81 / $125.89	Professional		$58.14	$82.81	$125.89
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 $53.29 / $104.10 / $162.71	Professional		$53.29	$104.10	$162.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $107.92 / $166.59	Professional		$73.01	$107.92	$166.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $32.34 / $142.72	Professional		$28.54	$32.34	$142.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $94.04 / $131.69	Facility		$35.00	$94.04	$131.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $120.41 / $189.19	Professional		$75.97	$120.41	$189.19
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 $100.63 / $138.18 / $198.45	Professional		$100.63	$138.18	$198.45