Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $79.39 / $79.39	Facility		$79.39	$79.39	$79.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $108.57 / $117.07	Professional		$79.39	$108.57	$117.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $56.74	Professional		$17.02	$17.02	$56.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.31 / $146.00 / $435.94	Professional		$102.31	$146.00	$435.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $48.69 / $83.46	Professional		$20.86	$48.69	$83.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $113.19 / $212.25	Facility		$30.20	$113.19	$212.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $118.72 / $163.72	Professional		$71.59	$118.72	$163.72
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $128.66 / $184.78	Professional		$84.47	$128.66	$184.78