Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.34 / $2,145.78 / $7,838.38	Facility		$201.34	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $185.59 / $775.00	Professional		$140.69	$185.59	$775.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,769.16 / $6,487.16 / $10,570.73	Facility		$1,769.16	$6,487.16	$10,570.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $207.79 / $281.58	Professional		$103.90	$207.79	$281.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $227.92 / $324.99	Professional		$159.50	$227.92	$324.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $173.59 / $311.18	Professional		$32.34	$173.59	$311.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $204.33 / $320.93	Facility		$142.41	$204.33	$320.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.73 / $258.80 / $370.27	Professional		$168.73	$258.80	$370.27
United Facility/Professional Facility Modifier Low / Median / High Price $559.00 / $3,503.00 / $5,060.00	Facility		$559.00	$3,503.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $291.06 / $377.65	Professional		$210.12	$291.06	$377.65