Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.15 / $2,145.78 / $7,838.38	Facility		$131.15	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $119.74 / $197.00	Professional		$41.82	$119.74	$197.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.26 / $307.70 / $515.48	Facility		$128.26	$307.70	$515.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $132.78 / $166.33	Professional		$46.27	$132.78	$166.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $153.55 / $250.46	Professional		$56.20	$153.55	$250.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.15 / $32.34 / $171.51	Professional		$19.15	$32.34	$171.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $149.74 / $210.09	Facility		$74.48	$149.74	$210.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $153.55 / $250.46	Professional		$56.20	$153.55	$250.46
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 $151.90 / $186.00 / $255.60	Professional		$151.90	$186.00	$255.60