Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $477.00 / $7,838.38	Facility		$138.16	$477.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $193.25 / $353.21	Professional		$71.20	$193.25	$353.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $176.75 / $273.89	Professional		$85.28	$176.75	$273.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $138.66 / $324.74	Professional		$83.36	$138.66	$324.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $143.01 / $254.08	Professional		$32.34	$143.01	$254.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $160.28 / $439.35	Facility		$68.48	$160.28	$439.35
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $65.14 / $65.14 / $65.14	Facility	80	$65.14	$65.14	$65.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.63 / $185.24 / $380.90	Professional		$85.63	$185.24	$380.90
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $51.51 / $65.23 / $76.75	Professional	80	$51.51	$65.23	$76.75
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $43.79 / $55.44 / $65.23	Professional	AS	$43.79	$55.44	$65.23
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 $216.65 / $315.69 / $448.03	Professional		$216.65	$315.69	$448.03