Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.25 / $7,838.38 / $7,838.38	Facility		$78.25	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $70.16 / $121.40	Professional		$65.90	$70.16	$121.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $62.28 / $94.67	Professional		$62.28	$62.28	$94.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $107.14 / $144.47	Professional		$71.00	$107.14	$144.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $32.34 / $104.42	Professional		$19.45	$32.34	$104.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $98.57 / $109.44	Facility		$77.45	$98.57	$109.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $98.88 / $144.47	Professional		$81.84	$98.88	$144.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $105.44 / $159.58	Professional		$79.55	$105.44	$159.58