Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $477.00 / $7,838.38	Facility		$79.02	$477.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $120.00 / $267.82	Professional		$63.13	$120.00	$267.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $2,589.53 / $4,349.85	Facility		$728.01	$2,589.53	$4,349.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $126.98 / $229.61	Professional		$76.19	$126.98	$229.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $139.18 / $226.97	Professional		$81.11	$139.18	$226.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $220.38	Professional		$32.34	$32.34	$220.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.13 / $127.50 / $216.29	Facility		$63.13	$127.50	$216.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $151.80 / $254.35	Professional		$85.88	$151.80	$254.35
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 $148.35 / $198.80 / $289.17	Professional		$148.35	$198.80	$289.17