Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.31 / $6,656.08 / $7,838.38	Facility		$194.31	$6,656.08	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $172.61 / $768.00	Professional		$119.20	$172.61	$768.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.38 / $3,041.17 / $4,955.55	Facility		$829.38	$3,041.17	$4,955.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $191.13 / $267.79	Professional		$94.28	$191.13	$267.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $213.44 / $313.69	Professional		$151.22	$213.44	$313.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $167.11 / $298.63	Professional		$32.34	$167.11	$298.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $189.22 / $309.98	Facility		$127.87	$189.22	$309.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.77 / $249.01 / $350.75	Professional		$159.77	$249.01	$350.75
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 $186.56 / $281.75 / $362.70	Professional		$186.56	$281.75	$362.70