Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $2,145.78 / $7,838.38	Facility		$165.27	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $158.29 / $475.32	Professional		$94.27	$158.29	$475.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.23 / $638.82 / $1,041.83	Facility		$259.23	$638.82	$1,041.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $134.03 / $219.60	Professional		$78.08	$134.03	$219.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $158.83 / $158.83	Facility		$158.83	$158.83	$158.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.11 / $170.51 / $268.87	Professional		$109.11	$170.51	$268.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $101.16 / $224.21	Professional		$32.34	$101.16	$224.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.09 / $138.30 / $217.98	Facility		$89.09	$138.30	$217.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $214.27 / $374.63	Professional		$123.75	$214.27	$374.63
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 $151.47 / $209.10 / $308.10	Professional		$151.47	$209.10	$308.10