Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $7,838.38 / $7,838.38	Facility		$67.23	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $108.15 / $190.22	Professional		$55.51	$108.15	$190.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,667.74 / $4,469.18	Facility		$1,112.02	$2,667.74	$4,469.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $120.70 / $209.70	Professional		$78.29	$120.70	$209.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $92.08 / $162.47	Professional		$30.69	$92.08	$162.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.60 / $97.46 / $148.66	Facility		$62.60	$97.46	$148.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $124.14 / $209.70	Professional		$70.45	$124.14	$209.70
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.31 / $161.90 / $257.57	Professional		$128.31	$161.90	$257.57