Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $2,145.78 / $7,838.38	Facility		$86.90	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $72.48 / $138.37	Professional		$61.04	$72.48	$138.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.68 / $2,833.26 / $4,616.76	Facility		$772.68	$2,833.26	$4,616.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $87.35 / $116.12	Professional		$40.97	$87.35	$116.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $106.29 / $146.27	Professional		$60.74	$106.29	$146.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $68.86 / $154.93	Professional		$22.95	$68.86	$154.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $88.42 / $105.20	Facility		$70.73	$88.42	$105.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $104.21 / $141.26	Professional		$61.62	$104.21	$141.26
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,085.00 / $5,060.00	Facility		$559.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $109.51 / $163.98	Professional		$79.98	$109.51	$163.98