Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $2,145.78 / $7,838.38	Facility		$94.12	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $87.51 / $158.86	Professional		$65.15	$87.51	$158.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.94 / $1,057.83 / $1,772.15	Facility		$440.94	$1,057.83	$1,772.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $104.49 / $150.30	Professional		$55.73	$104.49	$150.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $112.89 / $155.86	Professional		$78.00	$112.89	$155.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $75.62 / $135.93	Professional		$25.20	$75.62	$135.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $95.89 / $136.44	Facility		$67.98	$95.89	$136.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $112.89 / $155.86	Professional		$78.00	$112.89	$155.86
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 $111.14 / $135.84 / $190.40	Professional		$111.14	$135.84	$190.40