Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,047.13 / $7,762.47	Facility		$81.28	$1,047.13	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $151.36	Professional		$48.98	$64.57	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,290.87 / $3,630.78	Facility		$1,071.52	$2,290.87	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $169.82	Professional		$54.95	$67.61	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $144.54	Professional		$67.61	$97.72	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $151.36	Facility		$67.61	$104.71	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $144.54	Professional		$64.57	$102.33	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,090.30	Facility		$416.87	$2,511.89	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $141.25	Professional		$75.86	$102.33	$141.25