Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.93 / $2,145.78 / $7,838.38	Facility		$86.93	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $76.40 / $116.15	Professional		$35.49	$76.40	$116.15
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 $35.33 / $61.61 / $110.94	Professional		$35.33	$61.61	$110.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $84.94 / $165.45	Professional		$45.57	$84.94	$165.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $32.34 / $123.79	Professional		$24.75	$32.34	$123.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $76.40 / $97.30	Facility		$39.26	$76.40	$97.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $98.77 / $179.18	Professional		$47.55	$98.77	$179.18
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 $64.68 / $103.76 / $186.31	Professional		$64.68	$103.76	$186.31