Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.26 / $2,095.00 / $7,838.38	Facility		$240.26	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $207.68 / $642.46	Professional		$133.69	$207.68	$642.46
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 $105.79 / $211.57 / $333.04	Professional		$105.79	$211.57	$333.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.79 / $257.75 / $387.93	Professional		$170.79	$257.75	$387.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $205.31 / $366.36	Professional		$32.34	$205.31	$366.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.28 / $228.93 / $385.45	Facility		$130.28	$228.93	$385.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.99 / $281.79 / $455.06	Professional		$182.99	$281.79	$455.06
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.05 / $358.02 / $456.30	Professional		$246.05	$358.02	$456.30