Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.05 / $7,838.38 / $7,838.38	Facility		$53.05	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $81.61 / $199.30	Professional		$52.35	$81.61	$199.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.18 / $493.08 / $856.75	Facility		$213.18	$493.08	$856.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $92.54 / $131.83	Professional		$60.62	$92.54	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $116.19 / $254.18	Professional		$73.27	$116.19	$254.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $66.34 / $119.77	Professional		$22.11	$66.34	$119.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $122.06 / $187.51	Facility		$60.85	$122.06	$187.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $116.19 / $254.18	Professional		$73.27	$116.19	$254.18
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $172.90 / $224.93	Professional		$120.33	$172.90	$224.93