Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.12 / $2,095.00 / $7,838.38	Facility		$94.12	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $110.25 / $212.20	Professional		$67.38	$110.25	$212.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $142.35 / $229.74	Professional		$83.24	$142.35	$229.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $133.62 / $245.38	Professional		$80.86	$133.62	$245.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $192.66	Professional		$32.34	$32.34	$192.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $110.25 / $175.93	Facility		$55.94	$110.25	$175.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $155.74 / $262.26	Professional		$87.81	$155.74	$262.26
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 $162.36 / $217.00 / $312.48	Professional		$162.36	$217.00	$312.48