Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.83 / $2,145.78 / $7,838.38	Facility		$95.83	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.63 / $75.90 / $140.30	Professional		$43.63	$75.90	$140.30
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 $55.13 / $77.80 / $143.54	Professional		$55.13	$77.80	$143.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $86.79 / $149.93	Professional		$55.22	$86.79	$149.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $88.49 / $201.22	Professional		$29.49	$88.49	$201.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $83.44 / $114.95	Facility		$49.22	$83.44	$114.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $86.79 / $178.71	Professional		$55.22	$86.79	$178.71
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 $88.69 / $125.44 / $184.50	Professional		$88.69	$125.44	$184.50