Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $309.03 / $2,137.96	Facility		$177.83	$309.03	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $407.38	Professional		$100.00	$165.96	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,570.88 / $7,585.78	Facility		$1,862.09	$4,570.88	$7,585.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $208.93	Professional		$125.89	$162.18	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $269.15	Professional		$128.82	$177.83	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $257.04	Professional		$32.36	$47.86	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $251.19	Facility		$112.20	$165.96	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $275.42	Professional		$128.82	$190.55	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,265.80 / $7,244.36	Facility		$562.34	$4,265.80	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $288.40	Professional		$134.90	$194.98	$288.40