Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.99 / $1,378.00 / $7,838.38	Facility		$91.99	$1,378.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $91.99 / $150.01	Professional		$41.75	$91.99	$150.01
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 $55.26 / $107.89 / $158.30	Professional		$55.26	$107.89	$158.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $109.20 / $213.77	Professional		$53.18	$109.20	$213.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $32.34 / $128.90	Professional		$25.78	$32.34	$128.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.06 / $75.98 / $176.21	Facility		$40.06	$75.98	$176.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $118.67 / $213.77	Professional		$55.49	$118.67	$213.77
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 $127.35 / $183.85 / $275.75	Professional		$127.35	$183.85	$275.75