Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $172.52 / $1,000.00	Facility		$149.72	$172.52	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $114.87 / $219.86	Professional		$65.34	$114.87	$219.86
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 $58.48 / $97.46 / $188.95	Professional		$58.48	$97.46	$188.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $112.46 / $198.64	Professional		$67.84	$112.46	$198.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.45	Professional		$32.34	$32.34	$178.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $100.25 / $178.11	Facility		$50.56	$100.25	$178.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $140.71 / $279.02	Professional		$74.01	$140.71	$279.02
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 $123.79 / $168.07 / $272.70	Professional		$123.79	$168.07	$272.70