Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $165.96 / $7,762.47	Facility		$83.18	$165.96	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $275.42	Professional		$64.57	$120.23	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,818.38 / $4,570.88	Facility		$1,288.25	$2,818.38	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $199.53	Professional		$77.62	$123.03	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $125.89 / $239.88	Facility		$66.07	$125.89	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $199.53	Professional		$77.62	$123.03	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $2,344.23	Facility		$229.09	$1,148.15	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $194.98	Professional		$69.18	$117.49	$194.98