Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.94 / $2,145.78 / $7,838.38	Facility		$71.94	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $70.58 / $113.46	Professional		$47.82	$70.58	$113.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $80.59 / $162.75	Professional		$46.86	$80.59	$162.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $91.13 / $138.68	Professional		$60.71	$91.13	$138.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $101.13	Professional		$32.34	$32.34	$101.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $61.75 / $95.56	Facility		$42.02	$61.75	$95.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $95.09 / $149.33	Professional		$60.79	$95.09	$149.33
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 $92.84 / $121.89 / $172.08	Professional		$92.84	$121.89	$172.08