Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.96 / $2,145.78 / $7,838.38	Facility		$123.96	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $113.39 / $193.72	Professional		$77.37	$113.39	$193.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.96 / $534.89 / $896.08	Facility		$222.96	$534.89	$896.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $127.40 / $191.50	Professional		$62.77	$127.40	$191.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $152.90 / $222.66	Professional		$102.06	$152.90	$222.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.88 / $191.10	Professional		$32.34	$104.88	$191.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $115.56 / $163.90	Facility		$90.06	$115.56	$163.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $152.90 / $222.66	Professional		$102.06	$152.90	$222.66
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 $131.38 / $171.59 / $263.08	Professional		$131.38	$171.59	$263.08