Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $7,762.47	Facility		$154.88	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $213.80	Professional		$93.33	$109.65	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $151.36	Professional		$69.18	$125.89	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $1,659.59	Facility		$177.83	$177.83	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $213.80	Professional		$104.71	$147.91	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $245.47	Facility		$93.33	$128.82	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $257.04	Professional		$114.82	$158.49	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,025.60 / $12,022.64	Facility		$645.65	$6,025.60	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $213.80	Professional		$102.33	$144.54	$213.80