Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.74 / $491.25 / $7,838.38	Facility		$91.74	$491.25	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $98.76 / $350.54	Professional		$60.85	$98.76	$350.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $678.21 / $2,264.27 / $3,934.30	Facility		$678.21	$2,264.27	$3,934.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $131.38 / $198.80	Professional		$81.00	$131.38	$198.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $120.98 / $196.89	Professional		$82.08	$120.98	$196.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $124.86 / $208.10	Professional		$32.34	$124.86	$208.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $107.22 / $145.56	Facility		$74.34	$107.22	$145.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $129.38 / $196.89	Professional		$82.08	$129.38	$196.89
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 $116.84 / $156.19 / $226.74	Professional		$116.84	$156.19	$226.74