Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $7,762.47	Facility		$120.23	$204.17	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $263.03	Professional		$77.62	$120.23	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $562.34 / $933.25	Facility		$257.04	$562.34	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $181.97	Professional		$102.33	$141.25	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $223.87	Professional		$102.33	$151.36	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $147.91 / $269.15	Facility		$107.15	$147.91	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $223.87	Professional		$102.33	$151.36	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $218.78	Professional		$102.33	$141.25	$218.78