Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.24 / $2,145.78 / $7,838.38	Facility		$116.24	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.14 / $104.27 / $162.54	Professional		$45.14	$104.27	$162.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.20 / $1,610.22 / $2,697.55	Facility		$671.20	$1,610.22	$2,697.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $112.29 / $206.02	Professional		$64.58	$112.29	$206.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $89.30 / $154.04	Professional		$29.76	$89.30	$154.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.27 / $127.10 / $150.96	Facility		$53.27	$127.10	$150.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $123.10 / $206.02	Professional		$59.33	$123.10	$206.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,655.00	Facility		$1,824.00	$2,516.00	$2,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $173.46 / $262.44	Professional		$130.63	$173.46	$262.44