Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.77 / $2,145.78 / $7,838.38	Facility		$102.77	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $90.21 / $170.17	Professional		$63.21	$90.21	$170.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.66 / $2,379.00 / $3,985.46	Facility		$991.66	$2,379.00	$3,985.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $99.43 / $157.33	Professional		$50.76	$99.43	$157.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $119.41 / $184.16	Professional		$78.76	$119.41	$184.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $88.57 / $157.02	Professional		$29.52	$88.57	$157.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $94.37 / $132.24	Facility		$70.98	$94.37	$132.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $122.77 / $184.16	Professional		$79.61	$122.77	$184.16
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 $104.86 / $138.00 / $208.56	Professional		$104.86	$138.00	$208.56