Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $17.57 / $310.52	Facility		$17.57	$17.57	$310.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $159.31 / $425.87	Professional		$17.57	$159.31	$425.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.12 / $803.47 / $1,309.24	Facility		$219.12	$803.47	$1,309.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $42.14 / $401.44	Professional		$20.14	$42.14	$401.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $49.53 / $556.04	Professional		$21.96	$49.53	$556.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $281.20 / $480.95	Professional		$32.34	$281.20	$480.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $33.28 / $656.23	Facility		$20.41	$33.28	$656.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $49.53 / $755.76	Professional		$22.77	$49.53	$755.76
United Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $186.82 / $342.85	Professional		$23.46	$186.82	$342.85