Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $982.50 / $7,838.38	Facility		$47.80	$982.50	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $122.66 / $195.18	Professional		$28.03	$122.66	$195.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.40 / $788.79 / $1,352.71	Facility		$226.40	$788.79	$1,352.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $132.81 / $220.71	Professional		$36.22	$132.81	$220.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $57.42 / $264.12	Professional		$33.21	$57.42	$264.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.09	Professional		$32.34	$32.34	$185.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.62 / $142.66 / $253.51	Facility		$29.62	$142.66	$253.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $79.65 / $324.80	Professional		$35.97	$79.65	$324.80
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $246.95 / $365.66	Professional		$156.63	$246.95	$365.66