Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.83 / $5,000.27 / $7,838.38	Facility		$232.83	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $199.80 / $296.68	Professional		$134.87	$199.80	$296.68
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 $115.58 / $209.92 / $322.87	Professional		$115.58	$209.92	$322.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $248.93 / $375.48	Professional		$164.65	$248.93	$375.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $199.04 / $354.80	Professional		$32.34	$199.04	$354.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $231.81 / $371.65	Facility		$150.01	$231.81	$371.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.82 / $271.08 / $436.76	Professional		$176.82	$271.08	$436.76
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 $246.56 / $342.50 / $440.70	Professional		$246.56	$342.50	$440.70