Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.90 / $2,145.78 / $7,838.38	Facility		$145.90	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $122.70 / $192.92	Professional		$64.40	$122.70	$192.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.01 / $2,518.91 / $3,911.84	Facility		$728.01	$2,518.91	$3,911.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $117.74 / $280.83	Professional		$70.64	$117.74	$280.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $134.44 / $244.37	Professional		$78.80	$134.44	$244.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $214.41	Professional		$32.34	$32.34	$214.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.92 / $131.54 / $235.20	Facility		$66.92	$131.54	$235.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $149.84 / $274.50	Professional		$80.12	$149.84	$274.50
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 $142.19 / $198.50 / $308.89	Professional		$142.19	$198.50	$308.89