Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $2,095.00 / $7,838.38	Facility		$38.29	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $57.61 / $170.17	Professional		$41.96	$57.61	$170.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $526.85 / $903.51	Facility		$151.22	$526.85	$903.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $45.19 / $64.38	Professional		$35.45	$45.19	$64.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $72.09 / $114.45	Professional		$35.92	$72.09	$114.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $37.10 / $83.48	Professional		$12.36	$37.10	$83.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.33 / $90.76	Facility		$42.66	$63.33	$90.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $74.77 / $114.45	Professional		$42.04	$74.77	$114.45
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $83.13 / $114.26	Professional		$63.70	$83.13	$114.26