Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.04 / $1,386.57 / $7,838.38	Facility		$190.04	$1,386.57	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $171.99 / $484.64	Professional		$120.54	$171.99	$484.64
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 $95.54 / $187.31 / $262.43	Professional		$95.54	$187.31	$262.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.81 / $212.59 / $306.16	Professional		$147.81	$212.59	$306.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $162.94 / $289.93	Professional		$32.34	$162.94	$289.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.46 / $189.03 / $303.69	Facility		$134.46	$189.03	$303.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $243.38 / $344.65	Professional		$156.91	$243.38	$344.65
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 $193.93 / $269.64 / $352.96	Professional		$193.93	$269.64	$352.96