Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.73 / $1,000.00 / $7,838.38	Facility		$176.73	$1,000.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $163.71 / $717.57	Professional		$111.42	$163.71	$717.57
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 $87.49 / $173.01 / $244.87	Professional		$87.49	$173.01	$244.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $196.37 / $284.33	Professional		$138.58	$196.37	$284.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $150.94 / $269.11	Professional		$30.19	$150.94	$269.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.05 / $174.70 / $281.36	Facility		$121.05	$174.70	$281.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $226.07 / $321.47	Professional		$144.94	$226.07	$321.47
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 $179.74 / $250.39 / $332.15	Professional		$179.74	$250.39	$332.15