Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.79 / $2,095.00 / $7,838.38	Facility		$137.79	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $117.96 / $209.82	Professional		$78.63	$117.96	$209.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.47 / $2,704.99 / $4,543.81	Facility		$760.47	$2,704.99	$4,543.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $143.40 / $301.19	Professional		$86.04	$143.40	$301.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $146.66 / $250.33	Professional		$96.34	$146.66	$250.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $228.32	Professional		$32.34	$32.34	$228.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.47 / $115.19 / $179.53	Facility		$68.47	$115.19	$179.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $162.16 / $286.08	Professional		$97.58	$162.16	$286.08
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $230.36 / $349.97	Professional		$172.78	$230.36	$349.97