Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $5,000.27 / $7,838.38	Facility		$172.56	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.93 / $172.56 / $492.52	Professional		$90.93	$172.56	$492.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $502.06 / $818.10	Facility		$136.91	$502.06	$818.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $149.10 / $289.68	Professional		$89.46	$149.10	$289.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $179.03 / $284.12	Professional		$105.13	$179.03	$284.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $92.96 / $269.19	Professional		$30.26	$92.96	$269.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.63 / $216.24 / $307.43	Facility		$119.63	$216.24	$307.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $185.15 / $311.22	Professional		$119.54	$185.15	$311.22
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 $235.00 / $279.79 / $343.43	Professional		$235.00	$279.79	$343.43