Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $128.82 / $2,137.96	Facility		$43.65	$128.82	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $70.79 / $199.53	Professional		$30.20	$70.79	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,621.81	Facility		$457.09	$1,000.00	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $97.72	Professional		$33.11	$47.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $123.03	Professional		$34.67	$58.88	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $141.25	Facility		$32.36	$64.57	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $177.83	Professional		$39.81	$67.61	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,737.80	Facility		$229.09	$1,148.15	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $138.04	Professional		$37.15	$63.10	$138.04