Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.53 / $5,000.27 / $7,838.38	Facility		$145.53	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $188.94 / $785.89	Professional		$145.53	$188.94	$785.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $503.87 / $818.10	Facility		$136.91	$503.87	$818.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.32 / $191.24 / $482.55	Professional		$149.32	$191.24	$482.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $211.13 / $278.33	Professional		$163.24	$211.13	$278.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $92.96 / $244.97	Professional		$32.34	$92.96	$244.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $280.97 / $379.16	Facility		$111.63	$280.97	$379.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $256.82 / $297.16	Professional		$164.52	$256.82	$297.16
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 $219.52 / $279.39 / $372.35	Professional		$219.52	$279.39	$372.35