Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.18 / $2,145.78 / $7,838.38	Facility		$90.18	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $84.23 / $280.57	Professional		$51.17	$84.23	$280.57
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 $77.00 / $77.00 / $77.00	Professional		$77.00	$77.00	$77.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $98.99 / $149.76	Professional		$66.00	$98.99	$149.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $72.63 / $130.56	Professional		$24.21	$72.63	$130.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.63 / $90.88 / $132.06	Facility		$55.63	$90.88	$132.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $98.99 / $149.76	Professional		$65.02	$98.99	$149.76
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 $103.20 / $129.60 / $185.64	Professional		$103.20	$129.60	$185.64