Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.03 / $2,145.78 / $7,838.38	Facility		$129.03	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $97.90 / $147.19	Professional		$68.65	$97.90	$147.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.62 / $103.27 / $192.08	Professional		$54.62	$103.27	$192.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $117.23 / $178.93	Professional		$75.30	$117.23	$178.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.12	Professional		$32.34	$32.34	$165.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $125.11 / $635.73	Facility		$56.53	$125.11	$635.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $135.61 / $257.83	Professional		$80.89	$135.61	$257.83
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 $118.17 / $160.16 / $252.90	Professional		$118.17	$160.16	$252.90