Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $91.10	Facility		$34.26	$34.26	$91.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.25 / $79.75 / $159.90	Professional		$31.25	$79.75	$159.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.69 / $886.25 / $1,444.13	Facility		$241.69	$886.25	$1,444.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $106.81 / $240.46	Professional		$42.23	$106.81	$240.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $104.57 / $202.50	Professional		$39.67	$104.57	$202.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $32.34 / $127.60	Professional		$25.52	$32.34	$127.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $75.11 / $167.45	Facility		$30.13	$75.11	$167.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $104.57 / $208.45	Professional		$41.39	$104.57	$208.45
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.84 / $175.68 / $252.54	Professional		$122.84	$175.68	$252.54