Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $2,145.78 / $7,838.38	Facility		$118.09	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $117.82 / $161.44	Professional		$26.16	$117.82	$161.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.79 / $989.27 / $1,612.00	Facility		$269.79	$989.27	$1,612.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $113.32 / $155.57	Professional		$36.74	$113.32	$155.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $122.29 / $210.00	Professional		$34.01	$122.29	$210.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $32.34 / $159.84	Professional		$31.96	$32.34	$159.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $95.51 / $191.47	Facility		$26.02	$95.51	$191.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $123.53 / $238.32	Professional		$35.54	$123.53	$238.32
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 $143.31 / $197.60 / $287.55	Professional		$143.31	$197.60	$287.55