Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $7,762.47	Facility		$199.53	$354.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $380.19	Professional		$128.82	$204.17	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,584.89 / $2,630.27	Facility		$630.96	$1,584.89	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $269.15	Professional		$165.96	$194.98	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $363.08	Professional		$165.96	$245.47	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $323.59	Professional		$32.36	$64.57	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $213.80 / $331.13	Facility		$138.04	$213.80	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $380.19	Professional		$165.96	$251.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,090.30	Facility		$416.87	$2,511.89	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $389.05	Professional		$169.82	$257.04	$389.05