Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $1,064.20 / $7,838.38	Facility		$273.14	$1,064.20	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $258.37 / $668.56	Professional		$169.51	$258.37	$668.56
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 $117.31 / $251.42 / $380.87	Professional		$117.31	$251.42	$380.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $305.80 / $442.81	Professional		$203.86	$305.80	$442.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $234.80 / $419.59	Professional		$32.34	$234.80	$419.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $255.24 / $434.08	Facility		$145.59	$255.24	$434.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.78 / $338.05 / $516.66	Professional		$213.78	$338.05	$516.66
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 $231.27 / $392.00 / $520.00	Professional		$231.27	$392.00	$520.00