Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.97 / $7,838.38 / $7,838.38	Facility		$60.97	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $88.39 / $147.94	Professional		$54.30	$88.39	$147.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $73.95 / $117.79	Professional		$50.18	$73.95	$117.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $105.37 / $169.75	Professional		$70.97	$105.37	$169.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $32.34 / $128.82	Professional		$14.52	$32.34	$128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $185.59 / $236.52	Facility		$65.63	$185.59	$236.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $105.37 / $169.75	Professional		$70.97	$105.37	$169.75
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 $115.64 / $157.66 / $226.74	Professional		$115.64	$157.66	$226.74