Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,071.52 / $1,071.52	Facility		$489.78	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $389.05	Professional		$223.87	$269.15	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $954.99	Facility		$218.78	$457.09	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $467.74	Professional		$354.81	$380.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $194.98	Professional		$134.90	$151.36	$194.98