Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.73 / $7,838.38 / $7,838.38	Facility		$208.73	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $251.40 / $548.57	Professional		$193.23	$251.40	$548.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $129.80 / $155.76	Professional		$129.80	$129.80	$155.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $340.11 / $356.31	Professional		$176.09	$340.11	$356.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $111.35 / $225.38	Professional		$31.81	$111.35	$225.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $137.97 / $137.97	Facility		$137.97	$137.97	$137.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.54 / $340.11 / $356.31	Professional		$237.54	$340.11	$356.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $4,262.00 / $17,636.00	Facility		$3,085.00	$4,262.00	$17,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.24 / $266.37 / $436.60	Professional		$171.24	$266.37	$436.60