Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $575.44 / $5,011.87	Facility		$316.23	$575.44	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $645.65	Professional		$186.21	$295.12	$645.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,951.21 / $4,677.35	Facility		$1,202.26	$2,951.21	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $371.54	Professional		$263.03	$316.23	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $501.19	Professional		$239.88	$331.13	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $89.13 / $478.63	Professional		$32.36	$89.13	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $354.81 / $489.78	Facility		$229.09	$354.81	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $537.03	Professional		$239.88	$338.84	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $7,244.36	Facility		$416.87	$2,511.89	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $549.54	Professional		$331.13	$436.52	$549.54