Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.33 / $2,145.78 / $7,838.38	Facility		$290.33	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $261.33 / $685.11	Professional		$180.24	$261.33	$685.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,769.16 / $6,487.16 / $10,570.73	Facility		$1,769.16	$6,487.16	$10,570.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $266.89 / $396.45	Professional		$133.19	$266.89	$396.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.68 / $328.56 / $470.87	Professional		$220.68	$328.56	$470.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $249.96 / $446.26	Professional		$32.34	$249.96	$446.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.49 / $288.27 / $457.28	Facility		$171.49	$288.27	$457.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.56 / $367.72 / $549.61	Professional		$228.56	$367.72	$549.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.00 / $2,516.00 / $2,877.00	Facility		$1,824.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $441.49 / $553.79	Professional		$301.08	$441.49	$553.79