Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $7,838.38 / $7,838.38	Facility		$70.75	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $89.15 / $223.63	Professional		$70.75	$89.15	$223.63
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 $46.98 / $88.63 / $134.02	Professional		$46.98	$88.63	$134.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $127.49 / $166.60	Professional		$89.15	$127.49	$166.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $77.18 / $140.60	Professional		$25.72	$77.18	$140.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $92.97 / $136.25	Facility		$73.05	$92.97	$136.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $127.49 / $166.60	Professional		$89.15	$127.49	$166.60
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 $115.00 / $139.32 / $204.94	Professional		$115.00	$139.32	$204.94