Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,762.50 / $7,838.38	Facility		$1,000.00	$2,762.50	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $97.33 / $166.40	Professional		$54.02	$97.33	$166.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.70 / $707.02 / $1,184.45	Facility		$294.70	$707.02	$1,184.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $83.12 / $146.30	Professional		$49.87	$83.12	$146.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $104.30 / $168.42	Professional		$78.45	$104.30	$168.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $81.70 / $146.31	Professional		$27.23	$81.70	$146.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.06 / $130.97 / $181.52	Facility		$66.06	$130.97	$181.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $112.28 / $164.58	Professional		$78.45	$112.28	$164.58
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 $131.32 / $157.18 / $219.50	Professional		$131.32	$157.18	$219.50