Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.40 / $2,145.78 / $7,838.38	Facility		$80.40	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $84.40 / $228.08	Professional		$43.38	$84.40	$228.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $2,669.47 / $4,349.85	Facility		$728.01	$2,669.47	$4,349.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $95.49 / $197.97	Professional		$54.05	$95.49	$197.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $137.16 / $196.74	Professional		$65.65	$137.16	$196.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.34 / $114.08	Professional		$22.81	$32.34	$114.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $112.23 / $165.80	Facility		$62.02	$112.23	$165.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $137.16 / $202.54	Professional		$71.22	$137.16	$202.54
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 $88.88 / $142.50 / $216.59	Professional		$88.88	$142.50	$216.59