Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $5,000.27 / $7,838.38	Facility		$125.76	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $111.39 / $432.00	Professional		$88.37	$111.39	$432.00
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 $62.17 / $137.16 / $188.27	Professional		$62.17	$137.16	$188.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $160.29 / $225.28	Professional		$108.92	$160.29	$225.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.88 / $192.54	Professional		$32.34	$104.88	$192.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.09 / $122.89 / $162.78	Facility		$97.09	$122.89	$162.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $160.29 / $225.28	Professional		$108.92	$160.29	$225.28
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 $132.94 / $172.50 / $257.52	Professional		$132.94	$172.50	$257.52