Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.13 / $2,145.78 / $7,838.38	Facility		$124.13	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $110.14 / $166.85	Professional		$80.95	$110.14	$166.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.86 / $1,231.81 / $2,008.92	Facility		$499.86	$1,231.81	$2,008.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $65.15 / $133.36	Facility		$65.15	$65.15	$133.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $136.97 / $203.08	Professional		$92.63	$136.97	$203.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $32.34 / $158.90	Professional		$31.78	$32.34	$158.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $108.14 / $147.94	Facility		$77.65	$108.14	$147.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.60 / $156.03 / $266.63	Professional		$98.60	$156.03	$266.63
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,158.00 / $1,327.00	Facility		$200.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $171.82 / $266.39	Professional		$114.38	$171.82	$266.39