Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $2,095.00 / $7,838.38	Facility		$167.72	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $153.59 / $693.27	Professional		$118.87	$153.59	$693.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.09 / $1,617.39 / $2,635.51	Facility		$441.09	$1,617.39	$2,635.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $169.49 / $237.47	Professional		$85.04	$169.49	$237.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $188.53 / $274.99	Professional		$133.41	$188.53	$274.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $146.44 / $258.88	Professional		$29.29	$146.44	$258.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.09 / $167.75 / $273.60	Facility		$121.09	$167.75	$273.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $219.20 / $308.66	Professional		$142.49	$219.20	$308.66
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 $172.00 / $240.09 / $317.20	Professional		$172.00	$240.09	$317.20