Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $2,145.78 / $7,838.38	Facility		$68.95	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $90.12 / $150.44	Professional		$44.50	$90.12	$150.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.94 / $1,120.17 / $1,825.30	Facility		$440.94	$1,120.17	$1,825.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $101.03 / $136.38	Professional		$52.64	$101.03	$136.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.38 / $64.38 / $75.00	Facility		$64.38	$64.38	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $126.04 / $186.60	Professional		$57.83	$126.04	$186.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $32.34 / $123.99	Professional		$24.79	$32.34	$123.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.16 / $107.16 / $193.24	Facility		$45.16	$107.16	$193.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $126.51 / $210.26	Professional		$66.15	$126.51	$210.26
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $152.72 / $204.00	Professional		$95.20	$152.72	$204.00