Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.76 / $2,145.78 / $7,838.38	Facility		$216.76	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $216.76 / $692.12	Professional		$124.56	$216.76	$692.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.57 / $1,168.13 / $1,903.46	Facility		$318.57	$1,168.13	$1,903.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $234.64 / $404.09	Professional		$110.20	$234.64	$404.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.60 / $213.78 / $354.21	Professional		$137.60	$213.78	$354.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $186.44 / $330.21	Professional		$32.34	$186.44	$330.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $196.17 / $342.44	Facility		$99.07	$196.17	$342.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $235.66 / $369.16	Professional		$153.91	$235.66	$369.16
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $310.07 / $395.19	Professional		$233.20	$310.07	$395.19