Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.50 / $2,095.00 / $7,838.38	Facility		$106.50	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $106.50 / $249.36	Professional		$84.42	$106.50	$249.36
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 $59.51 / $134.80 / $182.66	Professional		$59.51	$134.80	$182.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $153.46 / $209.34	Professional		$86.93	$153.46	$209.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $96.62 / $173.48	Professional		$32.20	$96.62	$173.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.16 / $137.19 / $245.93	Facility		$93.16	$137.19	$245.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $152.44 / $200.18	Professional		$89.13	$152.44	$200.18
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 $116.53 / $160.65 / $230.82	Professional		$116.53	$160.65	$230.82