Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.74 / $4,099.70 / $5,000.27	Facility		$178.74	$4,099.70	$5,000.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $108.99 / $163.69	Professional		$101.92	$108.99	$163.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.00 / $873.23 / $1,462.90	Facility		$364.00	$873.23	$1,462.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $121.09 / $195.16	Professional		$100.91	$121.09	$195.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $182.09 / $210.06	Professional		$127.79	$182.09	$210.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $139.90 / $150.51	Professional		$32.34	$139.90	$150.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.37 / $131.37 / $131.37	Facility		$131.37	$131.37	$131.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $175.41 / $235.45	Professional		$133.38	$175.41	$235.45
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $182.60 / $262.29	Professional		$150.99	$182.60	$262.29