Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.23 / $2,095.00 / $7,838.38	Facility		$82.23	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $118.48 / $200.48	Professional		$82.04	$118.48	$200.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.20 / $1,610.22 / $2,697.55	Facility		$671.20	$1,610.22	$2,697.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $142.50 / $203.00	Professional		$78.23	$142.50	$203.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $150.32 / $218.25	Professional		$102.54	$150.32	$218.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $102.14 / $181.65	Professional		$32.34	$102.14	$181.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.62 / $141.15 / $195.40	Facility		$85.62	$141.15	$195.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $150.32 / $218.25	Professional		$102.54	$150.32	$218.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $190.30 / $270.97	Professional		$155.69	$190.30	$270.97