Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.31 / $2,145.78 / $7,838.38	Facility		$107.31	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $91.46 / $134.43	Professional		$51.42	$91.46	$134.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.44 / $2,810.42 / $4,583.43	Facility		$1,140.44	$2,810.42	$4,583.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $88.67 / $158.07	Professional		$53.20	$88.67	$158.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $75.48 / $88.85	Facility		$75.48	$75.48	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $104.46 / $180.52	Professional		$64.11	$104.46	$180.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $32.34 / $139.76	Professional		$26.51	$32.34	$139.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $94.31 / $138.94	Facility		$54.58	$94.31	$138.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $119.25 / $214.20	Professional		$66.90	$119.25	$214.20
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $2,516.00 / $2,655.00	Facility		$525.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $152.90 / $259.92	Professional		$106.46	$152.90	$259.92