Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $954.00 / $7,838.38	Facility		$93.47	$954.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $110.26 / $149.27	Professional		$60.43	$110.26	$149.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.33 / $1,379.95 / $2,074.94	Facility		$376.33	$1,379.95	$2,074.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $112.72 / $215.75	Professional		$67.63	$112.72	$215.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $118.90 / $207.09	Professional		$76.79	$118.90	$207.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $187.75	Professional		$32.34	$32.34	$187.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $113.90 / $218.44	Facility		$61.00	$113.90	$218.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $136.72 / $226.73	Professional		$76.79	$136.72	$226.73
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 $136.12 / $180.32 / $260.82	Professional		$136.12	$180.32	$260.82