Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.74 / $597.36 / $5,000.27	Facility		$116.74	$597.36	$5,000.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $109.33 / $356.21	Professional		$70.23	$109.33	$356.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.91 / $645.11 / $1,080.73	Facility		$268.91	$645.11	$1,080.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $106.52 / $186.61	Professional		$63.91	$106.52	$186.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $133.79 / $222.99	Professional		$90.55	$133.79	$222.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $107.46 / $190.01	Professional		$32.34	$107.46	$190.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.42 / $118.36 / $167.00	Facility		$79.42	$118.36	$167.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $137.74 / $222.99	Professional		$90.55	$137.74	$222.99
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 $131.13 / $174.50 / $274.13	Professional		$131.13	$174.50	$274.13