Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.51 / $5,000.27 / $7,838.38	Facility		$200.51	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $200.51 / $502.12	Professional		$122.19	$200.51	$502.12
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 $88.19 / $150.82 / $285.81	Professional		$88.19	$150.82	$285.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $202.99 / $321.72	Professional		$133.31	$202.99	$321.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $170.19 / $302.58	Professional		$32.34	$170.19	$302.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.37 / $190.85 / $322.11	Facility		$99.37	$190.85	$322.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $223.67 / $369.66	Professional		$138.49	$223.67	$369.66
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 $200.11 / $296.94 / $375.05	Professional		$200.11	$296.94	$375.05