Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.58 / $5,000.27 / $7,838.38	Facility		$257.58	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $216.26 / $601.76	Professional		$149.15	$216.26	$601.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,962.15 / $6,794.40 / $10,543.29	Facility		$1,962.15	$6,794.40	$10,543.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.78 / $215.45 / $317.11	Professional		$120.78	$215.45	$317.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.60 / $275.20 / $419.15	Professional		$189.60	$275.20	$419.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $222.13 / $397.08	Professional		$32.34	$222.13	$397.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.61 / $246.83 / $406.45	Facility		$179.61	$246.83	$406.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $318.61 / $453.84	Professional		$197.70	$318.61	$453.84
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.78 / $364.56 / $474.49	Professional		$248.78	$364.56	$474.49