Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.47 / $2,095.00 / $7,838.38	Facility		$82.47	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $110.34 / $196.39	Professional		$88.26	$110.34	$196.39
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 $55.95 / $104.89 / $156.62	Professional		$55.95	$104.89	$156.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $139.37 / $193.90	Professional		$76.34	$139.37	$193.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $79.94 / $140.49	Professional		$26.64	$79.94	$140.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $103.53 / $157.66	Facility		$63.17	$103.53	$157.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $143.75 / $193.90	Professional		$80.16	$143.75	$193.90
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 $122.20 / $150.80 / $204.05	Professional		$122.20	$150.80	$204.05