Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $7,762.47	Facility		$144.54	$190.55	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $288.40	Professional		$114.82	$141.25	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $186.21	Professional		$102.33	$141.25	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $218.78	Professional		$89.13	$162.18	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $269.15	Facility		$75.86	$141.25	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $199.53	Professional		$89.13	$147.91	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,011.87	Facility		$562.34	$3,467.37	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $204.17	Professional		$114.82	$151.36	$204.17