Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $7,762.47	Facility		$91.20	$93.33	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $169.82	Professional		$74.13	$87.10	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $95.50	Professional		$61.66	$61.66	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $131.83	Professional		$81.28	$107.15	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $104.71 / $263.03	Facility		$77.62	$104.71	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $131.83	Professional		$77.62	$107.15	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $138.04	Professional		$74.13	$102.33	$138.04