Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $7,838.38 / $7,838.38	Facility		$107.62	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $146.18 / $232.10	Professional		$106.17	$146.18	$232.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.18 / $493.08 / $856.75	Facility		$213.18	$493.08	$856.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $145.53 / $211.49	Professional		$74.39	$145.53	$211.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $189.53 / $245.35	Professional		$130.22	$189.53	$245.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.28 / $219.95	Professional		$32.34	$100.28	$219.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.99 / $146.84 / $186.77	Facility		$117.99	$146.84	$186.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $189.53 / $257.12	Professional		$130.22	$189.53	$257.12
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 $160.54 / $219.45 / $323.20	Professional		$160.54	$219.45	$323.20