Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $2,145.78 / $7,838.38	Facility		$80.83	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $74.18 / $106.50	Professional		$56.46	$74.18	$106.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.02 / $2,740.37 / $4,469.18	Facility		$1,112.02	$2,740.37	$4,469.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $52.11 / $100.37	Facility		$52.11	$52.11	$100.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $97.08 / $142.38	Professional		$67.14	$97.08	$142.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $32.34 / $113.12	Professional		$21.05	$32.34	$113.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $78.55 / $112.69	Facility		$56.46	$78.55	$112.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $110.48 / $180.00	Professional		$70.06	$110.48	$180.00
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $3,085.00 / $5,060.00	Facility		$755.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $114.75 / $172.79	Professional		$81.00	$114.75	$172.79