Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $275.42 / $7,838.38	Facility		$158.10	$275.42	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $47.64 / $124.99	Professional		$27.11	$47.64	$124.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $659.49 / $1,145.90	Facility		$234.12	$659.49	$1,145.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $49.83 / $66.36	Professional		$29.90	$49.83	$66.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $51.39 / $94.41	Professional		$33.35	$51.39	$94.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $37.76 / $66.45	Professional		$12.58	$37.76	$66.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.11 / $82.63 / $107.50	Facility		$29.11	$82.63	$107.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $52.54 / $94.41	Professional		$33.35	$52.54	$94.41
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $89.51 / $127.99	Professional		$63.45	$89.51	$127.99