Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $123.03 / $3,548.13	Facility		$41.69	$123.03	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $81.28 / $190.55	Professional		$30.20	$81.28	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $741.31 / $1,230.27	Facility		$338.84	$741.31	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $109.65	Professional		$36.31	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $141.25	Professional		$52.48	$89.13	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $109.65 / $169.82	Facility		$47.86	$109.65	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $141.25	Professional		$52.48	$87.10	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $151.36	Professional		$48.98	$85.11	$151.36