Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $2,145.78 / $7,838.38	Facility		$117.36	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $104.18 / $163.10	Professional		$74.92	$104.18	$163.10
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 $63.45 / $137.43 / $223.65	Professional		$63.45	$137.43	$223.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $132.21 / $198.95	Professional		$88.33	$132.21	$198.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $172.45	Professional		$32.34	$32.34	$172.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $105.17 / $139.54	Facility		$72.25	$105.17	$139.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $148.07 / $226.24	Professional		$90.92	$148.07	$226.24
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 $124.02 / $170.85 / $251.21	Professional		$124.02	$170.85	$251.21