Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.69 / $1,047.00 / $7,838.38	Facility		$90.69	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $84.79 / $167.20	Professional		$63.75	$84.79	$167.20
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 $52.04 / $106.10 / $170.34	Professional		$52.04	$106.10	$170.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $112.84 / $163.16	Professional		$74.02	$112.84	$163.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $133.94	Professional		$32.34	$32.34	$133.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.12 / $86.54 / $119.38	Facility		$61.12	$86.54	$119.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $120.68 / $185.75	Professional		$79.30	$120.68	$185.75
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 $108.66 / $135.21 / $187.21	Professional		$108.66	$135.21	$187.21