Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $309.03 / $7,762.47	Facility		$109.65	$309.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $309.03	Professional		$79.43	$177.83	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,388.44 / $5,623.41	Facility		$1,548.82	$3,388.44	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $269.15	Professional		$100.00	$169.82	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $154.88	Facility		$138.04	$138.04	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $323.59	Professional		$95.50	$186.21	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $186.21 / $323.59	Facility		$81.28	$186.21	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $199.53 / $354.81	Professional		$95.50	$199.53	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,011.87	Facility		$562.34	$3,467.37	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $338.84	Professional		$100.00	$181.97	$338.84