Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $2,145.78 / $7,838.38	Facility		$109.93	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $93.39 / $170.96	Professional		$81.00	$93.39	$170.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.25 / $1,196.29 / $1,949.34	Facility		$326.25	$1,196.29	$1,949.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $121.83 / $173.56	Professional		$55.81	$121.83	$173.56
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 $78.86 / $144.53 / $195.86	Professional		$78.86	$144.53	$195.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $87.33 / $196.49	Professional		$29.11	$87.33	$196.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $130.07 / $222.68	Facility		$93.92	$130.07	$222.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $141.62 / $184.96	Professional		$79.48	$141.62	$184.96
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 $113.08 / $143.08 / $205.49	Professional		$113.08	$143.08	$205.49