Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.45 / $3,328.04 / $5,000.27	Facility		$295.45	$3,328.04	$5,000.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $270.57 / $740.11	Professional		$178.45	$270.57	$740.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.38 / $2,871.92 / $4,456.54	Facility		$829.38	$2,871.92	$4,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.54 / $284.95 / $432.21	Professional		$164.54	$284.95	$432.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.33 / $335.79 / $499.19	Professional		$236.33	$335.79	$499.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $266.44 / $474.51	Professional		$32.34	$266.44	$474.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.31 / $352.99 / $493.91	Facility		$236.31	$352.99	$493.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.35 / $397.52 / $588.40	Professional		$241.35	$397.52	$588.40
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.68 / $510.95 / $600.30	Professional		$395.68	$510.95	$600.30