Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.17 / $515.80 / $3,342.10	Facility		$69.17	$515.80	$3,342.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $76.03 / $292.00	Professional		$50.16	$76.03	$292.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.47 / $1,299.59 / $2,258.13	Facility		$534.47	$1,299.59	$2,258.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $128.47 / $300.00	Professional		$60.90	$128.47	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $91.22 / $156.03	Professional		$61.18	$91.22	$156.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $161.88 / $314.04	Professional		$37.68	$161.88	$314.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.27 / $98.40 / $127.27	Facility		$58.27	$98.40	$127.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $91.22 / $185.04	Professional		$61.18	$91.22	$185.04
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 $92.78 / $127.40 / $182.97	Professional		$92.78	$127.40	$182.97