Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $257.04 / $2,187.76	Facility		$72.44	$257.04	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $346.74	Professional		$63.10	$147.91	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,148.15 / $1,862.09	Facility		$524.81	$1,148.15	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $218.78	Professional		$79.43	$147.91	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $288.40	Professional		$89.13	$165.96	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $165.96 / $363.08	Facility		$67.61	$165.96	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $288.40	Professional		$85.11	$165.96	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $7,244.36	Facility		$416.87	$2,511.89	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $162.18 / $288.40	Professional		$74.13	$162.18	$288.40