Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,047.13 / $7,762.47	Facility		$104.71	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $323.59	Professional		$67.61	$87.10	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $275.42	Professional		$91.20	$91.20	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $147.91	Professional		$89.13	$114.82	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $194.98	Facility		$83.18	$117.49	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $147.91	Professional		$89.13	$114.82	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $181.97	Professional		$87.10	$114.82	$181.97