Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $7,838.38 / $7,838.38	Facility		$117.53	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $114.23 / $168.40	Professional		$99.92	$114.23	$168.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $138.12 / $196.76	Professional		$108.30	$138.12	$196.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $127.87 / $127.87	Facility		$127.87	$127.87	$127.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $167.75 / $209.44	Professional		$123.36	$167.75	$209.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.09	Professional		$32.34	$32.34	$178.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $144.00 / $179.55	Facility		$109.26	$144.00	$179.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $181.67 / $297.26	Professional		$127.39	$181.67	$297.26
United Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $4,616.00 / $17,636.00	Facility		$755.00	$4,616.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $164.49 / $240.16	Professional		$118.73	$164.49	$240.16