Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $2,145.78 / $7,838.38	Facility		$88.54	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $88.54 / $161.47	Professional		$65.06	$88.54	$161.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $947.57 / $1,544.06	Facility		$258.42	$947.57	$1,544.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $82.65 / $129.58	Professional		$44.09	$82.65	$129.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $110.69 / $156.61	Professional		$70.55	$110.69	$156.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $32.34 / $128.61	Professional		$25.72	$32.34	$128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $94.69 / $119.91	Facility		$64.43	$94.69	$119.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $117.94 / $176.22	Professional		$79.56	$117.94	$176.22
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 $94.60 / $126.50 / $198.01	Professional		$94.60	$126.50	$198.01