Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.53 / $1,047.00 / $7,838.38	Facility		$138.53	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.43 / $172.85 / $725.71	Professional		$125.43	$172.85	$725.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.07 / $1,376.48 / $2,360.54	Facility		$395.07	$1,376.48	$2,360.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $170.32 / $512.91	Professional		$125.89	$170.32	$512.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $200.98 / $321.01	Professional		$135.88	$200.98	$321.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $217.46 / $536.91	Professional		$32.34	$217.46	$536.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $217.92 / $317.83	Facility		$108.38	$217.92	$317.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $230.39 / $325.02	Professional		$150.93	$230.39	$325.02
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 $203.35 / $288.58 / $366.00	Professional		$203.35	$288.58	$366.00