Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.01 / $1,047.00 / $2,145.78	Facility		$151.01	$1,047.00	$2,145.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $138.29 / $288.76	Professional		$100.26	$138.29	$288.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,276.17 / $4,679.46 / $7,625.12	Facility		$1,276.17	$4,679.46	$7,625.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $151.44 / $231.84	Professional		$75.94	$151.44	$231.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $181.41 / $268.50	Professional		$127.55	$181.41	$268.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $142.91 / $254.26	Professional		$28.58	$142.91	$254.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.75 / $159.56 / $265.31	Facility		$107.75	$159.56	$265.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $209.06 / $298.29	Professional		$130.28	$209.06	$298.29
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $239.61 / $315.24	Professional		$162.36	$239.61	$315.24