Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.61 / $5,000.27 / $7,838.38	Facility		$141.61	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $103.40 / $209.73	Professional		$40.78	$103.40	$209.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.19 / $888.06 / $1,447.09	Facility		$242.19	$888.06	$1,447.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $99.77 / $194.89	Professional		$42.38	$99.77	$194.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $88.83 / $186.76	Professional		$44.36	$88.83	$186.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $164.45	Professional		$32.34	$32.34	$164.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $120.04 / $179.56	Facility		$38.47	$120.04	$179.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $102.90 / $278.38	Professional		$56.59	$102.90	$278.38
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.15 / $172.00 / $261.50	Professional		$124.15	$172.00	$261.50