Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $2,145.78 / $7,838.38	Facility		$161.94	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $151.77 / $309.60	Professional		$80.09	$151.77	$309.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $383.64 / $642.69	Facility		$159.91	$383.64	$642.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $119.21 / $223.00	Professional		$71.53	$119.21	$223.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $155.71 / $243.56	Professional		$101.63	$155.71	$243.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $75.22 / $221.58	Professional		$32.34	$75.22	$221.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $177.17 / $226.80	Facility		$87.56	$177.17	$226.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $155.71 / $251.03	Professional		$99.54	$155.71	$251.03
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 $170.70 / $218.34 / $300.20	Professional		$170.70	$218.34	$300.20