Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $5,000.27 / $7,838.38	Facility		$126.63	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $100.75 / $201.25	Professional		$72.80	$100.75	$201.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $96.86 / $149.12	Professional		$96.86	$96.86	$149.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $140.12 / $227.13	Professional		$98.20	$140.12	$227.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $106.89 / $188.36	Professional		$32.34	$106.89	$188.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.55 / $107.43 / $142.13	Facility		$89.55	$107.43	$142.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $145.08 / $227.13	Professional		$98.20	$145.08	$227.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,834.00 / $6,599.00 / $7,158.00	Facility		$4,834.00	$6,599.00	$7,158.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.47 / $155.32 / $223.08	Professional		$105.47	$155.32	$223.08